* 1. Type of Procedure you had (mark all that apply)

* 2. Please rate your experience at Colorado Canyons Hospital and Medical Center Radiology Department:

  Poor Fair Good Very Good Excellent N/A
Ease of Completing Forms:
Length of Time Waiting After Registration:
Professionalism/Friendliness of Technologist:
Patient Privacy:
Cleanliness of Facility:
If you spent time with our Radiologist/Doctor, please rate your interaction:

* 4. Optional

* 5. Please share with us areas we excelled in and what areas we could have done better.