Palomar Pomerado Health Radiology Center
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1.
1
. What type of exam have you recently had? (Please Select One)
What type of exam have you recently had? (Please Select One)
X-Ray
Ultrasound
MRI
Cat Scan
Nuclear Medicine
2
. Was our reception staff friendly and helpful?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Please Select One
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Was our reception staff friendly and helpful? Please Select One Very Dissatisfied
Please Select One Dissatisfied
Please Select One Neutral
Please Select One Satisfied
Please Select One Very Satisfied
3
. Was the waiting area comfortable and accommodating?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
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*
Was the waiting area comfortable and accommodating? Please Select One Very Dissatisfied
Please Select One Dissatisfied
Please Select One Neutral
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Please Select One Very Satisfied
4
. Was your test started in a timely fashion?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Please Select One
*
Was your test started in a timely fashion? Please Select One Very Dissatisfied
Please Select One Dissatisfied
Please Select One Neutral
Please Select One Satisfied
Please Select One Very Satisfied
5
. Was the technologist polite and informative about your procedure?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Please Select One
*
Was the technologist polite and informative about your procedure? Please Select One Very Dissatisfied
Please Select One Dissatisfied
Please Select One Neutral
Please Select One Satisfied
Please Select One Very Satisfied
6
. How would you rate your overall experience?
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Please Select One
*
How would you rate your overall experience? Please Select One Very Dissatisfied
Please Select One Dissatisfied
Please Select One Neutral
Please Select One Satisfied
Please Select One Very Satisfied
If you have any comments or suggestions on how we can improve our Radiology department, please let us know.
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