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.

CONVENIENCE AND AVAILABILITY

PHONE ACCESS - Is the phone answered promptly?

Yes    Mostly    Sometimes    No

AVAILABILITY - How convenient do you find the hours our practice is open?

Excellent    Good    Average    Poor

TIMEFRAME - Was your request scheduled within a timeframe that suits both you and your patients requirements?

Yes    Mostly    Sometimes    No

RANGE - Do we offer the range of ultrasound scans you require?

Yes    Mostly    Sometimes    No

REPORTING

Have you received your reports within a timely manner?

Yes    Mostly    Sometimes    No

Do you find the reports clear and precise?

Yes    Mostly    Sometimes    No

Overall how would you rate the service we provide?

Excellent    Good    Average    Poor

Additional comments and suggestions for improvement: