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* 1. What was your overall opinion of the Radiology Department?

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* 2. Was this your first visit to our Department?

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* 3. Would you choose our Radiology Department again?

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* 4. Would you recommend this department to your friends and family?

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* 5. What procedure did you have done?  (Please mark all that apply)

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* 6. Your first greeting upon arrival was:

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* 7. The availability and friendliness of the staff was:

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* 8. The amount of time to be seen by a tech was:

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* 9. When you asked questions did you get enough information from the staff?

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* 10. The staff in the Radiology department was compassionate and caring.

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* 11. The explanation of test(s) and treatment by the staff was:

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* 12. The cleanliness and comfort of the Radiology Department was:

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* 13. Adequate precautions were taken for my safety.

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* 14. The amount of time it took to preform my tests was:

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* 15. What one thing could we do that would most improve your Radiology experience?

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* 16. Date of visit (optional)

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* 17. Contact information (optional)

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* 18. Gender Identity (optional)

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* 19. Age (optional)

Thank you for taking the time to fill out our survey so that we may improve our services to our patients. Your suggestions are very important to us.

If you have additional information or concerns please feel free to contact:

Tonya Deason, Director

816-629-2757

tdeason@esmc.org

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