Feedback Form How did we do?First Name (optional)Last Name (optional)How did you hear about High St Xray? Referring Doctor or Health Professional Family/friend recommendation OtherWas the information given for your booking appropriate to the scan/procedure? Yes NoWhat type of scan did you have today?Please indicate the name(s) of your Receptionist/Sonographer/Radiographer/DoctorCheckbox GridPoorAverageGoodExcellentHow would you rate your booking process?Overall, how was your examination and/or procedure?Overall, how would you rate the service you received at High St Xray.Any additional comments/suggestions.Submit Form