This free survey is powered by
0%
Questions marked with a * are required Exit Survey
 
 
* How satisfied are you with today's visit?
 
Very Satisfied
 
Satisfied
 
Dissatisfied
 
Will likely not return
 
 
 
Did the person doing your test today explain your procedure?
 
Yes
 
No
 
 
 
How satisfied were you with the ease of scheduling your appointment?
 
Very satisfied
 
Satisfied
 
Dissatisfied
 
Will likely not return
 
 
 
The amount of time spent in the waiting room?
 
Excellent
 
Good
 
Fair
 
Poor
 
 
 
Overall cleanliness and comfort of our department?
 
Excellent
 
Good
 
Fair
 
Poor
 
 
 
Comments or suggestions: