Patient Satisfaction Survey Question Title * 1. What examination did you have today? X-ray Ultrasound Mammogram CT MRI Image guided procedure Question Title * 2. Did your doctor refer you to RADIOLOGY GROUP and this particular practice? Yes No Unsure Question Title * 3. Why did you or your doctor choose this particular practice for your examination? Close to home/work/surgery Specific practicing radiologist Appointment availability Service(s) offered Question Title * 4. Please rank the following in order of importance to you from 1 to 8 (1 = most important, 8 = least important) Question Title * 5. Was it easy to make an appointment? Question Title * 6. Were the reception staff attentive and helpful? Question Title * 7. Did you find the staff to be courteous and polite? Question Title * 8. Was adequate explanation and information provided to you for the examination or procedure? Yes No Unsure Question Title * 9. Was your appointment on time? Yes No Unsure Question Title * 10. How did you find the speed and efficiency of the service? Question Title * 11. Did the time taken to receive your films and report meet your expectations? Above expectations Meet expectations Below expectations Question Title * 12. How would you rate your OVERALL level of satisfaction with the service? Done
