Thank you for selecting Atlantic Medical Imaging for your imaging needs. Please tell us about your experience at our facility.

We're committed to monitoring the quality of the service and care we provide, as part of an ongoing improvement process. We would appreciate your feedback on our performance.

Note: If you would like to enter our monthly drawing for a $50 WAWA gift card, please include your name at the end of the survey.

Which Atlantic Medical Imaging office did you go to for your exam?

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* 1. Which Atlantic Medical Imaging office did you go to for your exam?

What exam did you have?

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* 2. What exam did you have?

Is this your first visit to our imaging center?

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* 3. Is this your first visit to our imaging center?

How many minutes did you wait after your scheduled appointment time before you were called to the test area?

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* 4. How many minutes did you wait after your scheduled appointment time before you were called to the test area?

How many minutes did you wait in the test area before your test began?

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* 5. How many minutes did you wait in the test area before your test began?

On what day was your most recent visit?

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* 6. On what day was your most recent visit?

At what time of day was your most recent visit?

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* 7. At what time of day was your most recent visit?

REGISTRATION

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* 8. REGISTRATION

  Very Poor Poor Fair Good Very Good
Helpfulness of the person at the registration desk
Ease of the registration process
Waiting time in registration
FACILITY

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* 9. FACILITY

  Very Poor Poor Fair Good Very Good
Comfort of the waiting area
Ease of finding your way around
Cleanliness of the facility
ABOUT YOUR TEST

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* 10. ABOUT YOUR TEST

  Very Poor Poor Fair Good Very Good
Friendliness/courtesy of the technologist who provided your test
Explanations from the technologist about what would happen during your test
Skill of the technologist who provided your test
Technologist's concern for your comfort
Technologist's concern for your questions and worries
PERSONAL ISSUES

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* 11. PERSONAL ISSUES

  Very Poor Poor Fair Good Very Good
Our concerns for your privacy
Our sensitivity to your needs
Response to concerns/complaints made during your visit
OVERALL ASSESSMENT

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* 12. OVERALL ASSESSMENT

  Very Poor Poor Fair Good Very Good
How well staff worked together to provide care
Overall rating of care received during your visit
How likely is it that you would recommend Atlantic Medical Imaging to a friend or colleague?

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* 13. How likely is it that you would recommend Atlantic Medical Imaging to a friend or colleague?

Not at all likely
Extremely likely
If you would like to be entered in our monthly drawing for a $50.00 WAWA gift card, please include your name.

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* 14. If you would like to be entered in our monthly drawing for a $50.00 WAWA gift card, please include your name.

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