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Breast Screening Feedback Survey

Thank you for taking the time to complete this survey. It will be used to further improve the services that we deliver to patients.


Tick as many as you wish
Overall, did you feel you were treated with respect and dignity during your visit?
Did the person taking your x-ray explain the procedure to you before it took place?
(Please tick one option)
Tick as many answers as you wish
What prompted your decision to attend your breast screening appointment? Choose as many reasons as you like
e.g. asthma/COPD/cancer/HIV/Diabetes/Chronic heart disease/epilepsy
If there was a particular member of staff who deserves a special mention, please tell us their name
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