Feedback Form - ProRad Radiology

Customer Feedback Form

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Any a comments/suggestions

Date *

Name *

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How did you hear about proRAD medical imaging? *

Why did you choose to have your radiology service at proRAD medical imaging? *

From your visit today, please rate us on the following | Easy of appoinment making

Physical environment and presentation of practice

Staff promptness in attending to your appointment

Friendliness and helpfulness of staff members

Any additional comments/suggestions

Please tick for "YES" if you would like a callback from proRAD's relation team?

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