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Patient Survey

Thank you for choosing Peninsula Imaging. Your impression of our facility is important to us. Please use this form to complete our survey online. Information passed via this form is securely submitted to our office. We appreciate your time in communicating your experience and value your opinion.

    Scheduling my appointment was easy and convenient
    YesNo

    The office staff was courteous and informative
    YesNo

    The waiting area was clean and comfortable
    YesNo

    The procedure was performed in a timely manner
    YesNo

    My overall experience was positive, and I would recommend Peninsula Imaging to friends and family
    YesNo

    Why did you choose our imaging center? (check all that apply)