Healthcare Provider Service Satisfaction Survey

This questionnaire is designed to assess the quality of radiology services provided to you. Your input is highly valued as it provides an opportunity for us to address areas of concern in ways that are responsive to the needs of your practice. Please click on the rating that best describes your satisfaction level.

RIA LOCATION:

  1
Very
Dissatisfied
2
Somewhat
Dissatisfied
3
Somewhat
Satisfied
4
Very
Satisfied
5
No
Opinion
1. REPORT QUALITY & TURNAROUND  
Quick & Accurate Report Turnaround
Wet Reads When Requested
 
2. TELEPHONE RESPONSIVENESS  
Efficiency of Automated Prompts
Courteous & Professional Response
Time Placed On-Hold
 
3. SCHEDULING EFFECTIVENESS  
Timely & Convenient Appointments
Ability to Fit in Urgent Cases
Efficiency of Scheduling Process
 
  1
Very
Dissatisfied
2
Somewhat
Dissatisfied
3
Somewhat
Satisfied
4
Very
Satisfied
5
No
Opinion
4. QUALITY OF STUDIES  
MRI
CT (Cat Scan)
PET/CT
Fluoroscopy (GI)
GU (IVP)
General Diagnostic X-ray
Ultrasound
Nuclear Medicine
DEXA Bone Densitometry
Breast Imaging (Mammography)
Special Procedures
 
5. RADIOLOGISTS  
Responsiveness/Availability for consultation
Interaction with patients
 
  1
Very
Dissatisfied
2
Somewhat
Dissatisfied
3
Somewhat
Satisfied
4
Very
Satisfied
5
No
Opinion
6. TECHNOLOGISTS & SUPPORT STAFF  
Courtesy, helpfulness & professionalism
 
7. PHYSICAL FACILITIES  
Location Convenience
Parking Convenience
Cleanliness
Atmosphere and Decor

Would you recommend RIA to a colleague? yes no

Do you have any recommendations for us?

Would you like us to contact you? yes no

Name (optional):
Phone Number:




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