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Patient Survey

We welcome patient feedback to assist us in monitoring the quality of our service. Please take a few minutes to provide us with important information to assist us in our effort to better serve you.
You can also email us at feedback@whdc.ca.

Step 1 of 15

6%

Patient Experience Survey

Name
Date of Visit
MM
DD
YYYY

Examination performed
- Ultrasound
- X-ray
- BMD

Was it easy to book an initial appointment?
- Yes
- No

Did you have any difficulty finding the clinic?
- Yes
- No

Did you receive a reminder call or text message about your appointment?
- Yes
- No

Did you receive proper preparation instructions for your exam today?
- Yes
- No

Were you greeted courteously when you arrived in the clinic?
- Yes
- No

Were you taken to the examination room in a reasonable length of time?
- Yes
- No

Were your questions answered satisfactorily?
- Yes
- No

Were you treated with courtesy and respect during the examination?
- Yes
- No

Was your privacy respected during your visit?
- Yes
- No

Did you find the atmosphere of the clinic pleasant?
- Yes
- No

Would you recommend this clinic to your family and friends?
- Yes
- No

Comments/Suggestions for Improvement
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Phone
This field is for validation purposes and should be left unchanged.

	15 Westney Road North, Ajax, ON L1T 1P4
	905-686-9729
	905-686-6188
	info@whdc.ca

Clinic Hours

Monday	8am - 6pm
Tuesday	8am - 6pm
Wednesday	8am - 6pm
Thursday	8am - 6pm
Friday	8am - 6pm
Saturday	8am - 4pm

Patient Survey
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