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Physician / Provider Survey
1.
Please complete details.
Name
Office Address
Email Address
Phone Number
2.
Is your office interested in directly booking appointments with our Customer Support Centre and having our staff follow-up with your patients for appointment notification and reminders?
Yes
No
Other (please specify)
3.
Which location(s) do you use more frequently
1 Young street
115 Parkdale Avenue South
15 Mountain Avenue
325 Winterberry Drive
723 Rymal Road
760 Brant Street
2951 Walkers Line
1960 Appleby Line
2200 Fairview
1060 Speers Road
2525 Old Bronte Road
4.
How interested are you in connecting to the WH Portal to access reports and exam images quickly through on-line access?
Already using.
Right away, very interested.
Interested, would like to hear more.
Will wait and see how it is working.
Not interested.
5.
How satisfied are you with how long it generally takes to obtain
an oral (if urgent) or written consult/report from this facility, once your patient is seen?
Not Applicable
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
6.
This facility accommodates patients when the test is urgently required.
Strongly agree
Agree
Disagree
Strongly disagree
7.
The interpreting physician is available to you for consultation.
Strongly agree
Agree
Disagree
Strongly disagree
8.
The recommendations are clearly stated.
Strongly agree
Agree
Disagree
Strongly disagree
9.
Reports of results are sent out in a timely fashion.
Strongly agree
Agree
Disagree
Strongly disagree
10.
Overall, how satisfied are you with the contacts you have had with this facility in the past six (6) months?
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
11.
How satisfied are you with how long it generally takes to get an appointment for a patient at this facility?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
12.
What are the reasons you refer patients to this particular facility?
Turnaround time to receive the results is shortest
Quality of the services provided
Has convenient hours of operation
Close to Patients home
13.
What changes would most improve competing services currently available from other companies?
14.
Additional Comments
Current Progress,
0 of 14 answered