Patient Satisfaction Survey

This survey determines your satisfaction with the services provided by this facility on your visit. This information will be recorded in our Continuing Quality Care Program to facilitate improvements in the manner we deliver our services. Please answer every question by selecting the appropriate experience. If you are unsure about a question, please give the best answer you can and make a comment on the left margin.

The breathing test experience was:

The explanation for each test was:

The technologist/staff manner was:

The waiting period was:

If unsatisfactory, were you given a proper explanation for excessive waiting time?

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