What type of exam did you have? * Body CompositionBone DensitometryEchocardiographyMammogramMRI (U3T)Pain ClinicUltrasoundVein ClinicX-Ray

Were you seen within 15 minutes of your scheduled time? * YesNo

Were you provided with a requisition before coming to the clinic? * YesNo

Were your needs met with our scheduling procedure & availability? * YesNo

Is our location convenient and accessible? * YesNo

Were you greeted upon arrival? * YesNo

Was our reception area clean and tidy? * YesNo

Did you find the waiting room media informative? * YesNo

Were you given adequate instructions prior to your exam? * YesNo

Was your technologist pleasant and professional? * YesNo

Was your procedure/exam explained to you? * YesNo

Have you visited our radiology offices in the past? YesNo

Tell us about your experience today:

Additional Comments:

2 + 5 = ? Please prove that you are human by solving the equation *