Patient Satisfaction Survey

At Premier Radiology our goal is to provide you with the highest quality of care that is compassionate and convenient. We would like your feedback so that we can continue to improve our services.

Thank you for your time and consideration. Your feedback will be confidential.

	No	Not Really	Sometimes	Yes, Definitely
Were you greeted in a friendly manner by the receptionist?	Were you greeted in a friendly manner by the receptionist? No	Were you greeted in a friendly manner by the receptionist? Not Really	Were you greeted in a friendly manner by the receptionist? Sometimes	Were you greeted in a friendly manner by the receptionist? Yes, Definitely
Was your wait in the reception area acceptable?	Was your wait in the reception area acceptable? No	Was your wait in the reception area acceptable? Not Really	Was your wait in the reception area acceptable? Sometimes	Was your wait in the reception area acceptable? Yes, Definitely
Did you feel comfortable in the waiting area?	Did you feel comfortable in the waiting area? No	Did you feel comfortable in the waiting area? Not Really	Did you feel comfortable in the waiting area? Sometimes	Did you feel comfortable in the waiting area? Yes, Definitely
Did the technologist explain the examination?	Did the technologist explain the examination? No	Did the technologist explain the examination? Not Really	Did the technologist explain the examination? Sometimes	Did the technologist explain the examination? Yes, Definitely
Did the technologist answer your questions?	Did the technologist answer your questions? No	Did the technologist answer your questions? Not Really	Did the technologist answer your questions? Sometimes	Did the technologist answer your questions? Yes, Definitely
Did you experience any discomfort during the procedure?	Did you experience any discomfort during the procedure? No	Did you experience any discomfort during the procedure? Not Really	Did you experience any discomfort during the procedure? Sometimes	Did you experience any discomfort during the procedure? Yes, Definitely
Did the physician explain the examine and results?	Did the physician explain the examine and results? No	Did the physician explain the examine and results? Not Really	Did the physician explain the examine and results? Sometimes	Did the physician explain the examine and results? Yes, Definitely

Not Really

Sometimes

Yes, Definitely

Were you greeted in a friendly manner by the receptionist?

Were you greeted in a friendly manner by the receptionist? No

Were you greeted in a friendly manner by the receptionist? Not Really

Were you greeted in a friendly manner by the receptionist? Sometimes

Were you greeted in a friendly manner by the receptionist? Yes, Definitely

Was your wait in the reception area acceptable?

Was your wait in the reception area acceptable? No

Was your wait in the reception area acceptable? Not Really

Was your wait in the reception area acceptable? Sometimes

Was your wait in the reception area acceptable? Yes, Definitely

Did you feel comfortable in the waiting area?

Did you feel comfortable in the waiting area? No

Did you feel comfortable in the waiting area? Not Really

Did you feel comfortable in the waiting area? Sometimes

Did you feel comfortable in the waiting area? Yes, Definitely

Did the technologist explain the examination?

Did the technologist explain the examination? No

Did the technologist explain the examination? Not Really

Did the technologist explain the examination? Sometimes

Did the technologist explain the examination? Yes, Definitely

Did the technologist answer your questions?

Did the technologist answer your questions? No

Did the technologist answer your questions? Not Really

Did the technologist answer your questions? Sometimes

Did the technologist answer your questions? Yes, Definitely

Did you experience any discomfort during the procedure?

Did you experience any discomfort during the procedure? No

Did you experience any discomfort during the procedure? Not Really

Did you experience any discomfort during the procedure? Sometimes

Did you experience any discomfort during the procedure? Yes, Definitely

Did the physician explain the examine and results?

Did the physician explain the examine and results? No

Did the physician explain the examine and results? Not Really

Did the physician explain the examine and results? Sometimes

Did the physician explain the examine and results? Yes, Definitely

Patient Satisfaction Survey

1. Premier Radiology Patient Satisfaction Survey

Question Title

* 1. What type of study or procedure did you receive?

Question Title

* 2. Please rate us on our services and staff:

Question Title

* 3. Was your visit overall satisfying? What could we have done to make it better for you?