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ULTIMATE DIAGNOSTICS INC.

PATIENT SATISFACTION SURVEY
Please rate each question by choosing the answer that best describes your opinion

Appointment Date

Contact information (If you like to be contacted.)

How satisfied are you with the appointment availibility?

Poor Fair Good Very Good Excellent

How satisfied are you with the waiting time at the clinic?*

Poor Fair Good Very Good Excellent

How well did the clinic staff (reception, technologists) instruct you on preparations or what to expect during your test?*

Poor Fair Good Very Good Excellent

Willingness of clinic staff to answer your questions?*

Poor Fair Good Very Good Excellent

How clear and complete were the explanations about any possible risks or complications with your test?*

Poor Fair Good Very Good Excellent

Courtesy and respect you were given, friendliness; how well did the staff listen to what you had to say; how well did the staff understand what you thought was important?*

Poor Fair Good Very Good Excellent

How well was your privacy considered, for example, gowns and privacy while changing?*

Poor Fair Good Very Good Excellent

How would you recommend the clinic to a friend or family member if they needed service that it provides?

Poor Fair Good Very Good Excellent

How would you rate this clinic's environment?

Poor Fair Good Very Good Excellent

How would you rate this clinic overall?

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Toronto

298 Sheppard East,
Toronto, ON, M2N 3B1

+1 (416) 223-6500

+1 (416) 223-6502

Mon – Fri 09:00 – 17:00

Richmond Hill

205-1650 Elgin Mills Rd.
East, Richmond Hill, ON, L4S 0B2

+1 (905) 883-8000

+1 (905) 883-9993

Mon – Fri 09:00 – 17:00

Scarborough

4190 Finch Ave.,
(Lower Level, Unit 4)
Scarborough, ON M1S 4T7

+1 (416) 298-3656

+1 (416) 298-8814

Mon – Fri 09:00 – 17:00
Saturdays 09:00 – 16:00

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