Physician Survey
 
Patient Survey -Physician Survey

** All Comments Will Remain Confidential **
  Please rate our services by selecting the appropriate number:
1=Excellent
2=Good
3=Fair
4=Poor
  Tell us about our service:
 

Professionalism of our clerical staff:
1
2
3
4
 

Professionalism of our technologists:

1
2
3
4
 

Availability of radiologists for consultation:

1
2
3
4
  Accuracy of radiologists' interpretations:
1
2
3
4
  Professionalism of our couriers:
1
2
3
4
  Speed of our courier service:
1
2
3
4
  Patient's ease in finding our offices:
1
2
3
4
  Ease of scheduling appointments:
1
2 3 4
  Availability of appointments:
1
2
3
4
  Overall quality of our services:
1
2
3
4
  Tell us about your preferences:
  I prefer to have my reports sent to me by:
 
Courier All reports by fax same day
Faxing stat reports Phoning stat report
Yes
No
  Would you like the ability to receive x-ray images and reports immediately on your office computer? (on-line capabilities using a password):
  Would you like the ability to schedule patient exams on-line?
  Are our referral pads easy to use?
  Do you use our "patient education brochures"?    
  Tell us what is important to you:
  Of the factors below, please indicate the top 5 which are most important to you when deciding where to send a patient for imaging services.        
 
Patient satisfaction with x-ray facility Proximity to my office  
Proximity to my patient's home
Flexible office hours  
Type of insurance plans accepted
Professional relationship with the radiologist(s)
 
Accuracy of interpretations
Full range of imaging capabilities  
Speed with which appointments can be made Quality of films  
Speed of reports coming back to me    
     
  Other comments:
         
   
 

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