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52 King St.West,
Cobourg, ON K9A 2L9

COBOURG X-RAY & ULTRASOUND: PATIENT SATISFACTION SURVEY

How are we doing? To assist us in monitoring the quality of our services, please take a couple of minutes to complete our Patient Satisfaction Survey.

Instructions: Please indicate your answers by selecting Yes, No or Does Not Apply.

** If you require or would like a response, please include your contact information.
(including your name and a telephone number). **
(case sensitive)