Patient Survey Thank you for allowing us to take part in your care. Please take a few moments to take a short survey in an effort to help us improve your future visits to our facilities. For the following questions, please rate your level of satisfaction. OK Question Title * 1. What location did you visit? 1727 Lee Trevino 122 Castellano 7812 Gateway East 3080 Joe Battle Mobile Mammogram (MOM) OK Question Title * 2. The ease of scheduling your appointment? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Someone else scheduled my appointment OK Question Title * 3. Appointment available within a reasonable amount of time? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 4. The efficiency of the check-in process? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 5. The waiting time during your visit to our facility? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 6. The professionalism and courtesy of the person who performed your exam? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 7. The look and appearance of our facility? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 8. How likely are you to recommend our practice to a friend or family member? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely OK Question Title * 9. Overall, how satisfied are you with your visit? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 10. What could we do to improve your experience or our service to you? OK Question Title * 11. Optional: If you would like us to contact you regarding your experience at Desert Imaging, please complete the information below. Name Email Address Phone Number OK DONE
