Physician Satisfaction Survey

1. Premier Radiology Satisfaction Survey

At Premier Radiology the most valuable tool we have for evaluating our service is your feedback and perspective. We evaluate our services through the feedback you provide with our Satisfaction Survey.

Thank you for taking the time to share your comments with us.

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* 1. What is your position in the office?

PA/NP

Office Manager

Referral Coordinator

Other (please specify)

Question Title

* 2. Please rate us on the following operations:

	Poor	Fair	Good	Excellent	N/A
Contacting us by phone	Contacting us by phone Poor	Contacting us by phone Fair	Contacting us by phone Good	Contacting us by phone Excellent	Contacting us by phone N/A
Scheduling an appointment	Scheduling an appointment Poor	Scheduling an appointment Fair	Scheduling an appointment Good	Scheduling an appointment Excellent	Scheduling an appointment N/A
Staff Friendliness/Cooperation	Staff Friendliness/Cooperation Poor	Staff Friendliness/Cooperation Fair	Staff Friendliness/Cooperation Good	Staff Friendliness/Cooperation Excellent	Staff Friendliness/Cooperation N/A
Quality of Images	Quality of Images Poor	Quality of Images Fair	Quality of Images Good	Quality of Images Excellent	Quality of Images N/A
Turnaround time on Reports/Feedback	Turnaround time on Reports/Feedback Poor	Turnaround time on Reports/Feedback Fair	Turnaround time on Reports/Feedback Good	Turnaround time on Reports/Feedback Excellent	Turnaround time on Reports/Feedback N/A

Question Title

* 3. Were you satisfied with the quality of reporting by our Radiologists?

Very Satisfied

Satisfied

Unsatisfied

Extremely Unsatisfied

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* 4. Were our radiologists available for consultation?

Yes

Were you satisfied with these consultations?

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* 1. What is your position in the office?

Question Title

* 2. Please rate us on the following operations:

Question Title

* 3. Were you satisfied with the quality of reporting by our Radiologists?

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* 4. Were our radiologists available for consultation?

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* 5. Comments/Suggestions: