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Referrer Satisfaction Survey
We would love to hear your thoughts or feedback on how we can improve your experience!
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Email
*
Your email
Your Name (Optional)
Your answer
Your Name (Optional)
Your answer
Name of Practice
*
Your answer
Have you always been able to contact NZMI to make a booking with ease?
Yes
Mostly
Sometimes
No
Clear selection
Has your reception at NZMI, by phone or otherwise, always been polite and helpful?
Yes
Mostly
Sometimes
No
Clear selection
Have you always been able to book a scan at a time that suits both your requirements and the patients?
Yes
Mostly
Sometimes
No
Clear selection
Have you always received your scan reports on time?
Yes
Mostly
Sometimes
No
Clear selection
Do you always find the reports clear and precise?
Yes
Mostly
Sometimes
No
Clear selection
Are you happy with the format in which you receive your reports?
Yes
No
Clear selection
Which format do you prefer to receive reports?
Mail
Fax
Email
HealthLink
Format
Mail
Fax
Email
HealthLink
Format
Clear selection
Does NZMI offer the full range of nuclear Medicine services you require?
Yes
Mostly
Sometimes
No
Clear selection
To indicate your overall impressions of NZ Medical Imaging please circle one of the following?
Excellent
Good
Average
Poor
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Suggestions for improvement
Your answer
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