Patient Satisfaction Survey Question Title * 1. What examination did you have today? X-ray Ultrasound Mammogram CT MRI Image guided procedure Question Title * 2. Did your doctor refer you to RADIOLOGY GROUP and this particular practice? Yes No Unsure Question Title * 3. Why did you or your doctor choose this particular practice for your examination? Close to home/work/surgery Specific practicing radiologist Appointment availability Service(s) offered Question Title * 4. Please rank the following in order of importance to you from 1 to 8 (1 = most important, 8 = least important) 1Ease of making an appointmentMove up Ease of making an appointmentMove down Ease of making an appointment2Easy to find locationMove up Easy to find locationMove down Easy to find location3Speed of service/report deliveryMove up Speed of service/report deliveryMove down Speed of service/report delivery4Ease of parkingMove up Ease of parkingMove down Ease of parking5Bulk Billing/FeeMove up Bulk Billing/FeeMove down Bulk Billing/Fee6Proximity to home/work etcMove up Proximity to home/work etcMove down Proximity to home/work etc7Offering latest technology and newest equipmentMove up Offering latest technology and newest equipmentMove down Offering latest technology and newest equipment Question Title * 5. Was it easy to make an appointment? Question Title * 6. Were the reception staff attentive and helpful? Question Title * 7. Did you find the staff to be courteous and polite? Question Title * 8. Was adequate explanation and information provided to you for the examination or procedure? Yes No Unsure Question Title * 9. Was your appointment on time? Yes No Unsure Question Title * 10. How did you find the speed and efficiency of the service? Question Title * 11. Did the time taken to receive your films and report meet your expectations? Above expectations Meet expectations Below expectations Question Title * 12. How would you rate your OVERALL level of satisfaction with the service? Done
