Contact Us

If you have any questions regarding our services or business. Please fill out and submit this form. If you have any other questions, you can also contact our office via telephone (727)577-2220. Thanks and we look forwarding to assisting you! 

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123 Street Avenue, City Town, 99999

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SLEEP SURVEY

We would like to thank you for taking the time to provide us with feedback on your recent visit. With your feedback we will be able to improve the quality of care our patients receive when utilizing our facility.

Name *
Name
Date of Study?
Date of Study?
SCHEDULING
SCHEDULING
Saint Pete MRI was prompt in contacting me to schedule my appointment.
Saint Pete MRI was accommodating in terms of flexibility of scheduling.
Directions and pre-study instructions were comprehensive and helpful.
I received a confirmation call within 24 hours of my appointment.
All of my questions regarding my insurance coverage/benefits were answered.
SLEEP FACILITY
SLEEP FACILITY
Waiting area was clean and professional in appearance.
Restroom was clean and professional in appearance.
Bed was neat, clean, and professional in appearance.
Temperature of bedroom met my satisfaction.
Noise control (while sleeping) was to my satisfaction.
CUSTOMER SERVICE
CUSTOMER SERVICE
Scheduler was friendly and professional.
The sleep technician was friendly and professional.
Personnel were able to answer my questions to my satisfaction.
Would you recommend our facility to a friend?