Mon-Fri 8:00am to 8:00pm | Sat-Sun 8:00am to 4:00pm 450-671-6173 enfr
SPIRAL CT SCAN
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Survey form

 

 

ResoScan CLM is committed to providing safe, high quality care. We would like you to share with us your thoughts on the services you received today. You can also reflect on your previous visits. Your feedback is essential so that we can identify what we are doing right but also know what we could be doing better!


Please tick the boxes: 1 = Fully Satisfactory 2 = Moderately Satisfactory 3 = Unsatisfactory N/A. = Not Applicable

4. How did you find the reception the moment you took your exam:

5. Did you appreciate your exam:

6. Other considerations:

7. General Appreciation:

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