Physician Survey

Question Title

* 1. Please select all predominant sites accessed

General

Janeway

St. Clare's

Burin

Clarenville

Carbonear

Other (please specify)

Question Title

* 2. Please rate your level of satisfaction with the below URGENT CASE Medical Imaging services:

	1 (very unsatisfied)	2 (unsatisfied)	3 (neutral)	4 (satisfied)	5 (very satisfied)
X-Ray	X-Ray 1 (very unsatisfied)	X-Ray 2 (unsatisfied)	X-Ray 3 (neutral)	X-Ray 4 (satisfied)	X-Ray 5 (very satisfied)
Fluoroscopy	Fluoroscopy 1 (very unsatisfied)	Fluoroscopy 2 (unsatisfied)	Fluoroscopy 3 (neutral)	Fluoroscopy 4 (satisfied)	Fluoroscopy 5 (very satisfied)
Ultrasound	Ultrasound 1 (very unsatisfied)	Ultrasound 2 (unsatisfied)	Ultrasound 3 (neutral)	Ultrasound 4 (satisfied)	Ultrasound 5 (very satisfied)
Nuclear Medicine	Nuclear Medicine 1 (very unsatisfied)	Nuclear Medicine 2 (unsatisfied)	Nuclear Medicine 3 (neutral)	Nuclear Medicine 4 (satisfied)	Nuclear Medicine 5 (very satisfied)
PET-CT	PET-CT 1 (very unsatisfied)	PET-CT 2 (unsatisfied)	PET-CT 3 (neutral)	PET-CT 4 (satisfied)	PET-CT 5 (very satisfied)
CT Scan	CT Scan 1 (very unsatisfied)	CT Scan 2 (unsatisfied)	CT Scan 3 (neutral)	CT Scan 4 (satisfied)	CT Scan 5 (very satisfied)
MRI	MRI 1 (very unsatisfied)	MRI 2 (unsatisfied)	MRI 3 (neutral)	MRI 4 (satisfied)	MRI 5 (very satisfied)
Mammography	Mammography 1 (very unsatisfied)	Mammography 2 (unsatisfied)	Mammography 3 (neutral)	Mammography 4 (satisfied)	Mammography 5 (very satisfied)
Interventional	Interventional 1 (very unsatisfied)	Interventional 2 (unsatisfied)	Interventional 3 (neutral)	Interventional 4 (satisfied)	Interventional 5 (very satisfied)

Other (please specify)

Question Title

* 3. Please rate your level of satisfaction with the below NON-URGENT Medical Imaging services:

	1 (very unsatisfied)	2 (unsatisfied)	3 (neutral)	4 (satisfied)	5 (very satisfied)
X-Ray	X-Ray 1 (very unsatisfied)	X-Ray 2 (unsatisfied)	X-Ray 3 (neutral)	X-Ray 4 (satisfied)	X-Ray 5 (very satisfied)
Fluoroscopy	Fluoroscopy 1 (very unsatisfied)	Fluoroscopy 2 (unsatisfied)	Fluoroscopy 3 (neutral)	Fluoroscopy 4 (satisfied)	Fluoroscopy 5 (very satisfied)
Ultrasound	Ultrasound 1 (very unsatisfied)	Ultrasound 2 (unsatisfied)	Ultrasound 3 (neutral)	Ultrasound 4 (satisfied)	Ultrasound 5 (very satisfied)
Nuclear Medicine	Nuclear Medicine 1 (very unsatisfied)	Nuclear Medicine 2 (unsatisfied)	Nuclear Medicine 3 (neutral)	Nuclear Medicine 4 (satisfied)	Nuclear Medicine 5 (very satisfied)
PET-CT	PET-CT 1 (very unsatisfied)	PET-CT 2 (unsatisfied)	PET-CT 3 (neutral)	PET-CT 4 (satisfied)	PET-CT 5 (very satisfied)
CT Scan	CT Scan 1 (very unsatisfied)	CT Scan 2 (unsatisfied)	CT Scan 3 (neutral)	CT Scan 4 (satisfied)	CT Scan 5 (very satisfied)
MRI	MRI 1 (very unsatisfied)	MRI 2 (unsatisfied)	MRI 3 (neutral)	MRI 4 (satisfied)	MRI 5 (very satisfied)
Mammography	Mammography 1 (very unsatisfied)	Mammography 2 (unsatisfied)	Mammography 3 (neutral)	Mammography 4 (satisfied)	Mammography 5 (very satisfied)
Interventional	Interventional 1 (very unsatisfied)	Interventional 2 (unsatisfied)	Interventional 3 (neutral)	Interventional 4 (satisfied)	Interventional 5 (very satisfied)

Other (please specify)

Question Title

* 4. Please rate the wait time for the following Medical Imaging exams:

	1 (longer/increased wait times)	2 (no change to wait times)	3 (slight improvement)	4 (improved)	5 (greatly improved)
Fluoroscopy	Fluoroscopy 1 (longer/increased wait times)	Fluoroscopy 2 (no change to wait times)	Fluoroscopy 3 (slight improvement)	Fluoroscopy 4 (improved)	Fluoroscopy 5 (greatly improved)
Ultrasound	Ultrasound 1 (longer/increased wait times)	Ultrasound 2 (no change to wait times)	Ultrasound 3 (slight improvement)	Ultrasound 4 (improved)	Ultrasound 5 (greatly improved)
Nuclear Medicine	Nuclear Medicine 1 (longer/increased wait times)	Nuclear Medicine 2 (no change to wait times)	Nuclear Medicine 3 (slight improvement)	Nuclear Medicine 4 (improved)	Nuclear Medicine 5 (greatly improved)
PET-CT	PET-CT 1 (longer/increased wait times)	PET-CT 2 (no change to wait times)	PET-CT 3 (slight improvement)	PET-CT 4 (improved)	PET-CT 5 (greatly improved)
CT Scan	CT Scan 1 (longer/increased wait times)	CT Scan 2 (no change to wait times)	CT Scan 3 (slight improvement)	CT Scan 4 (improved)	CT Scan 5 (greatly improved)
Mammography	Mammography 1 (longer/increased wait times)	Mammography 2 (no change to wait times)	Mammography 3 (slight improvement)	Mammography 4 (improved)	Mammography 5 (greatly improved)
MRI	MRI 1 (longer/increased wait times)	MRI 2 (no change to wait times)	MRI 3 (slight improvement)	MRI 4 (improved)	MRI 5 (greatly improved)
Interventional	Interventional 1 (longer/increased wait times)	Interventional 2 (no change to wait times)	Interventional 3 (slight improvement)	Interventional 4 (improved)	Interventional 5 (greatly improved)
Xray	Xray 1 (longer/increased wait times)	Xray 2 (no change to wait times)	Xray 3 (slight improvement)	Xray 4 (improved)	Xray 5 (greatly improved)

Question Title

* 5. At the present time, are there areas of imaging that are not being provided or needs not being met in your region?

Yes

If yes, please elaborate

Question Title

* 6. Are you aware of any new changes in practice that would require the Medical Imaging Program to provide services that are currently not offered at this time?

Yes

If yes, please elaborate

Question Title

* 7. Please rate your level of satisfaction with regards to Medical Imaging turnaround times and exam reports:

	1 (very unsatisfied)	2 (unsatisfied)	3 (neutral)	4 (satisfied)	5 (very satisfied)
Current turnaround time for exam reports (time taken from exam date to receiving the report)	Current turnaround time for exam reports (time taken from exam date to receiving the report) 1 (very unsatisfied)	Current turnaround time for exam reports (time taken from exam date to receiving the report) 2 (unsatisfied)	Current turnaround time for exam reports (time taken from exam date to receiving the report) 3 (neutral)	Current turnaround time for exam reports (time taken from exam date to receiving the report) 4 (satisfied)	Current turnaround time for exam reports (time taken from exam date to receiving the report) 5 (very satisfied)
Exam report summary and recommendations	Exam report summary and recommendations 1 (very unsatisfied)	Exam report summary and recommendations 2 (unsatisfied)	Exam report summary and recommendations 3 (neutral)	Exam report summary and recommendations 4 (satisfied)	Exam report summary and recommendations 5 (very satisfied)
Quality of exam reports (i.e. concise, clarity, typographical errors, etc.)	Quality of exam reports (i.e. concise, clarity, typographical errors, etc.) 1 (very unsatisfied)	Quality of exam reports (i.e. concise, clarity, typographical errors, etc.) 2 (unsatisfied)	Quality of exam reports (i.e. concise, clarity, typographical errors, etc.) 3 (neutral)	Quality of exam reports (i.e. concise, clarity, typographical errors, etc.) 4 (satisfied)	Quality of exam reports (i.e. concise, clarity, typographical errors, etc.) 5 (very satisfied)
Communication of Significant and/or Critical Findings	Communication of Significant and/or Critical Findings 1 (very unsatisfied)	Communication of Significant and/or Critical Findings 2 (unsatisfied)	Communication of Significant and/or Critical Findings 3 (neutral)	Communication of Significant and/or Critical Findings 4 (satisfied)	Communication of Significant and/or Critical Findings 5 (very satisfied)

Question Title

* 8. Please rate your level of satisfaction with your ability to access Radiologists for a consultation:

1 (very unsatisfied)

2 (unsatisfied)

3 (neutral)

4 (satisfied)

5 (very satisfied)

1 (very unsatisfied)

2 (unsatisfied)

3 (neutral)

4 (satisfied)

5 (very satisfied)

If you are unsatisfied, please indicate which site(s) and provide suggestions for improvement.

Question Title

* 9. Please rate your level of satisfaction with regards to your ability to access Radiologists to facilitate urgent examinations:

1 (very unsatisfied)

2 (unsatisfied)

3 (neutral)

4 (satisfied)

5 (very satisfied)

1 (very unsatisfied)

2 (unsatisfied)

3 (neutral)

4 (satisfied)

5 (very satisfied)

If you are unsatisfied, please indicate which site(s) and provide suggestions for improvement.

Question Title

* 10. Are some or all of your imaging services being reported by Teleradiology?

Yes

If yes, and you are unsatisfied with these services, please elaborate:

Physician Survey

Question Title

* 1. Please select all predominant sites accessed

Question Title

* 2. Please rate your level of satisfaction with the below URGENT CASE Medical Imaging services:

Question Title

* 3. Please rate your level of satisfaction with the below NON-URGENT Medical Imaging services:

Question Title

* 4. Please rate the wait time for the following Medical Imaging exams:

Question Title

* 5. At the present time, are there areas of imaging that are not being provided or needs not being met in your region?

Question Title

* 6. Are you aware of any new changes in practice that would require the Medical Imaging Program to provide services that are currently not offered at this time?

Question Title

* 7. Please rate your level of satisfaction with regards to Medical Imaging turnaround times and exam reports:

Question Title

* 8. Please rate your level of satisfaction with your ability to access Radiologists for a consultation:

Question Title

* 9. Please rate your level of satisfaction with regards to your ability to access Radiologists to facilitate urgent examinations:

Question Title

* 10. Are some or all of your imaging services being reported by Teleradiology?

Question Title

* 11. Please offer suggestions as to how Medical Imaging Services could be improved.