Radiology Patient Experience Question Title * 1. What is your age group Under 29 30-39 40-49 50-59 60-69 70 + Question Title * 2. At which locations was your exam done: Ambulatory Care Center (ACC) Hahnemann Campus (Lincoln Street) Memorial Campus (Belmont Street) University Campus (Lake Ave) Question Title * 3. What type of exam did you have? X-Rays CT Scan Nuclear Medicine Ultrasound Procedure / Intervention (Biopsy, Injection, etc.) I'm not sure Question Title * 4. Did you receive CLEAR instructions about your visit (directions, where to park, appointment time, etc.) Yes No Question Title * 5. How friendly and helpful was the RECEPTIONIST Very Somewhat Fairly Not at all Question Title * 6. How long did you wait before going in for your exam? 0-15 minutes 16-30 minutes 31-45 minutes 46-60 minutes More than 1 hour Question Title * 7. If you waited more than 15 minutes - were you told of the expected time/delay? Yes No Does not apply Question Title * 8. How would you rate the professionalism and courtesy of the TECHNOLOGIST performing your test? The more stars that turn green means higher rating. Poor Fair Good Great Exceptional Poor Fair Good Great Exceptional Question Title * 9. Would you RECOMMEND our Radiology services to family & friends? Yes No Not sure Question Title * 10. How would you rate the overall quality of care that you received during this visit? The more stars that turn green means higher rating. Poor Fair Good Great Excellent Poor Fair Good Great Excellent Question Title * 11. Please feel free to provide any feedback that may help us improve our services! This information will be kept confidential. Please do not use any information that can identify you personally. Question Title * 12. Did you receive your results in a timely manner? Yes No Done
