Patient Satisfaction Survey


Please rate your level of satisfaction that best reflects your experience with Diagnostic Radiology

    Poor Fair Good Very
Good
Excellent No
Opinion,
N/A
01. The ease of scheduling your appointment?
02. The length of time between scheduling and your appointment date?
03. The adequacy of exam preparation instructions provided by our staff?
04. The courtesy and efficiency of our reception staff?
05. The comfort and appearance of our office(s)?
06. Length of time waiting in the reception area?
07. The courtesy and efficiency of our technologist(s)?
08. The courtesy and efficiency of our radiologist(s)?
09. Questions in regards to your exam answered adequately?
10. The general comfort and appearance of our office(s)?

Please provide the 10 digit primary phone number to reach you during daytime hours:

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