Northland's Ultrasound Professionals
Phone: 09 974 8844
56 Kamo Rd, Kensington
Whangarei, 0112

Patient Feedback Questionnaire

We would appreciate a few moments of your time to answer the following questions about your recent experience with EchoNorth

Please select answers:

Reception Staff

Excellent    Good    Average    Poor

Waiting area

Excellent    Good    Average    Poor

Sonographer (the person who did your scan)

Excellent    Good    Average    Poor

If you were not seen on time how long did you have to wait

5 mins    10 mins    20 mins    30 mins +

Overall experience

Excellent    Good    Average    Poor

Additional comments and suggestions:
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