EmailMeForm
CDC PATIENT SATISFACTION SURVEY
Your feedback is very valuable to us. Please complete the following brief survey to help us improve our service.
Service - Which service did you receive? (Check all that apply.)
CT
DEXA BONE DENSITY SCAN
DIGITAL MAMMOGRAPHY
DIGITAL X-RAY
ECHOCARDIOGRAPHY
NUCLEAR MEDICINE
OPEN & HIGH FIELD 1.5T MRI
PET/CT
ULTRASOUND
Appointment Scheduling - Please rank in terms of convenience, professionalism, and expectations met.
4 - EXCELLENT
3 - GOOD
2 - AVERAGE
1 - POOR
Front Desk - Please rank in terms of promptness, friendliness, professionalism, and knowledge.
4 - EXCELLENT
3 - GOOD
2 - AVERAGE
1 - POOR
Technologist - Please rank in terms of promptness, friendliness, professionalism, and knowledge.
4 - EXCELLENT
3 - GOOD
2 - AVERAGE
1 - POOR
Facility - Please rank in terms of cleanliness, comfort, and location/access.
4 - EXCELLENT
3 - GOOD
2 - AVERAGE
1 - POOR
Imaging Center - Why did you choose our imaging center? (Check all that apply.)
Convenient Location
Previous Visit
Advertising
Insurance Referral
Physician Referral
Reputation
Additional Comments? (Optional) - Please include any additional comments below.
