Northland's Ultrasound Specialists
Phone: 09 974 8844
21/50 Kioreroa Road
Port Whangarei, WHANGAREI 0110

Feedback Questionnaire

Thank you for referring your patients to EchoNorth. We would appreciate a few moments of your time to answer the following questions.

Please select answers:

If you telephoned with referrals were your calls answered promptly?

Yes    No    N/A

How did you receive your report?

EDI    Fax    Mail

Did you receive your report promptly?

Yes    No

If you received your report via EDI did you encounter any problems?

Yes    No    N/A

If 'Yes' please provide details:

Did the report provide the answers you required?

Yes    No

Did you know that you can access the scan images on IntelePACS?

Yes    No

Would you be happy to refer future patients to us?

Yes    No

Additional comments and suggestions for improvement: