IQ Radiology Referring doctor's Feedback form

Question Title

* 1. How satisfied are you with the following services from Sunshine Coast Radiology:

	Not Satisfied	Neutral	Satisfied
Reports delivery	Reports delivery Not Satisfied	Reports delivery Neutral	Reports delivery Satisfied
Patient satisfaction	Patient satisfaction Not Satisfied	Patient satisfaction Neutral	Patient satisfaction Satisfied
Ease of communication channels with our radiologists	Ease of communication channels with our radiologists Not Satisfied	Ease of communication channels with our radiologists Neutral	Ease of communication channels with our radiologists Satisfied
Our Practice Locations	Our Practice Locations Not Satisfied	Our Practice Locations Neutral	Our Practice Locations Satisfied
Useful Website information	Useful Website information Not Satisfied	Useful Website information Neutral	Useful Website information Satisfied
Overall	Overall Not Satisfied	Overall Neutral	Overall Satisfied

Comments

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* 2. How can we improve our services?

Question Title

* 3. What is your specialty?

Other (please specify)

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* 4. Name and contact info (Optional)

Name

Practice Name

Email Address

Phone Number