Patient Survey

RADIOLOGY PATIENT SURVEY
Who called to make your appointment?
Which type of exam did you have?
The decision to use our facility was made by:

Please select the level of satisfaction that best reflects your experience with our facility: 1=Very Dissatisfied, 2=Dissatisfied, 3= Neutral, 4= Satisfied, 5= Very Satisfied

Calling to make an appointment	1	2	3	4	5
Calling to make an appointment

Choice of appointment times	1	2	3	4	5


The preparations for your specific test/exams were explained adequately	1	2	3	4	5


Registration process at the front desk/courtesy of staff	1	2	3	4	5


Waiting time before procedure	1	2	3	4	5


Courtesy of our clinical staff/technologist	1	2	3	4	5


Explanation of what to expect during your exam	1	2	3	4	5


Were all your questions answered by our staff?	1	2	3	4	5


Timeliness with which your physician received the radiology report	1	2	3	4	5


Would you recommend others to Imaging Associates of Canton?	1	2	3	4	5

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