"*" indicates required fields First Name* Last Name* Email* How did you hear about CareScan Medical Imaging?* Referring Doctor or Health Professional Family/friend recommendation Other Was the information given for your booking appropriate to the scan/procedure?* Yes No What type of scan or procedure did you have with us?*Please SelectX-RayUltrasoundMRICT ScanSports ImagingBone Densitometry (Dexa Scan)OPG/Dental X-RayImage Guided InterventionCardiac CT Scan and CalciumPlease indicate the name(s) of your Receptionist/Sonographer/Radiographer/Doctor* How would you rate your booking process?* Poor Average Good Excellent Overall, how was your examination and/or procedure?* Poor Average Good Excellent Overall, how would you rate the service you received at CareScan Medical Imaging?* Poor Average Good Excellent Any additional comments/suggestions.CommentsThis field is for validation purposes and should be left unchanged.
