Monday - Friday 08:00 - 17:00
Saturday 09:00 - 16:00 (Appointments only)
(613) 548-3364
kis.kingston@gmail.com
422-797 Princess St
Kingston, K7L1G1
Home
About Us
Our Services
Ultrasound
X-Ray
Bone Mineral Densitometry (BMD)
Echocardiogram
Vascular (Veins and Artery) Ultrasound
Careers
Contact Us
For Patients
Book an appointment
Home
About Us
Our Services
Ultrasound
X-Ray
Bone Mineral Densitometry (BMD)
Echocardiogram
Vascular (Veins and Artery) Ultrasound
Careers
Contact Us
For Patients
Book an appointment
Home
About Us
Our Services
Ultrasound
X-Ray
Bone Mineral Densitometry (BMD)
Echocardiogram
Vascular (Veins and Artery) Ultrasound
Careers
Contact Us
For Patients
Book an appointment
Patient Survey
Kingston Imaging Services
>
For Patients
>
Patient Survey
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Date of Visit:
*
DD/MM/YYY
Examination Completed on this visit:
*
X-Ray
Bone Mineral Density
Ultrasound
Echocardiography
Name of Technologist
Was it easy to schedule an appointment?
*
Yes
No
Not Applicable
Was administrative staff courteous and respectful?
*
Yes
No
Not Applicable
Was your procedure started at your appointment time?
*
Yes
No
Not Applicable
technologist Was procedure
If not, how long did you wait?
Did the technologist explain the procedure and was communicative during the procedure?
*
Yes
No
Not Applicable
Was the technologist(s) courteous and respectful?
*
Yes
No
Not Applicable
Was the waiting room and atmosphere pleasant and accommodating to your needs?
*
Yes
No
Not Applicable
Was the examination room clean and tidy?
*
Yes
No
Not Applicable
Did you identify any barriers that limited your access to the service?
Please rate your overall experience at our clinic today?
*
Excellent
Good
Fair
Poor
Not Applicable
Comments
Submit