Patient Satisfaction Survey

We would very much appreciate your responses to this survey so that we may continue to find ways to improve the services we offer. Your suggestions and comments are welcomed. Please click on the rating that best describes your satisfaction level.

 
SCHEDULING
1. Did you schedule your appointment?
2. Was the appointment time convenient?
3. How would you rate the following?
a) The adequacy of instructions for exam preparation?
b) The courtesy of the scheduling staff?
c) The efficiency of the scheduling staff?
d) Overall satisfaction with the scheduling process?
   
  REGISTRATION
1. How would you rate the following?
 
a) The courtesy and efficiency of the receptionist?
b) The comfort and appearance of the waiting room?
c) Overall satisfaction of the scheduling process?
2. During the time that you waited, was...
Was this acceptable?
   
   
  YOUR PROCEDURE
1. How long did you wait for the technologist once you finished the registration process?
Was this acceptable?
2. How would you rate the following?
a) Technologist’s courtesy and professionalism?
b) Thoroughness in explaining the procedure?
c) Comfort and appearance of exam room?
d) Overall satisfaction with your procedure?
3. At which R.I.A. Center did you have your examination?
4. Exam(s) that you had:
Date of exam(s):
We would appreciate additional comments:
Your name (optional):
Phone number:
   
 


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