Toronto Ultrasound Imaging
Ultrasound
Abdominal & Pelvic
Pregnancy & Obstetric
Musculoskeletal (MSK)
Prostate & Transrectal
Preparations
Appointments
Directions
FAQs
Reviews
Uninsured Services
People-Centred Care
Contact
Surveys
Patient Survey
Referring Physician Survey
Referring Physician Survey
Name
Please rate your level of satisfaction regarding the following items:
Facility location and hours of operation
*
0
1
2
3
Facility's ability to assist in an efficient/timely manner
*
0
1
2
3
Accommodation of urgent examination requests
*
0
1
2
3
Range of services provided
*
0
1
2
3
Average waiting period for examinations
*
0
1
2
3
Clarity of requisition form layout and content
*
0
1
2
3
Courteous and professional behavior by facility staff
*
0
1
2
3
Patient feedback in response to clinic visit
*
0
1
2
3
Availability for verbal consultation
*
0
1
2
3
Final report turnaround time
*
0
1
2
3
Quality and clarity of final reports
*
0
1
2
3
Usefulness of final report recommendations
*
0
1
2
3
Overall satisfaction with the service by this facility
*
0
1
2
3
How would you like us to deliver referral forms?
by Fax
by Mail
EMR electronic form
How would you like us to deliver patient reports?
by Fax
by Mail
by email in PDF format
Additional Comments
Submit
