* 1. Date and time of appointment

* 2. Was the scheduled time convenient for you?

* 3. Which imaging center did you visit?

* 4. Why did you choose to come to OAI?

* 5. Were you able to find our office without a problem?

* 6. Was your payment responsibility fully explained to you?

* 7. Was the facility comforting and welcoming?

* 8. Please rate our Scheduling Department staff on the level of friendly, professional, and compassionate care they provide.

* 9. Please rate our Reception staff on the level of friendly, professional, and compassionate care they provide.

* 10. Please rate our Technologist staff on the level of friendly, professional, and compassionate care they provide.

* 11. Please rate our Nursing staff on the level of friendly, professional, and compassionate care they provide.

* 12. Did our Reception staff maintain your privacy during your visit?

* 13. Did our Technologist staff maintain your privacy during your visit?

* 14. Did our Nursing staff maintain your privacy during your visit?

* 15. What was your overall impression of OAI and the services we provide?

* 16. Do you have any suggestions to help us improve our services?

* 17. Your name and phone number (optional):

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