Imaging Satisfaction Survey Question Title * 1. Please enter the date of your appointment. Question Title * 2. What facility did you visit? Margaret W. Niedland Breast Center Jupiter Outpatient Imaging (JOI) Jupiter Medical Center Other (please specify) Question Title * 3. Was the person scheduling your appointment courteous, helpful and knowledgeable? Yes No Other (please specify) Question Title * 4. Was the person who registered you courteous and helpful? Yes No Other (please specify) Question Title * 5. Did you feel you were treated professionally, respectfully and with compassion? Yes No Other (please specify) Question Title * 6. Did your technologists/nurse thoroughly explain your exam? Yes No Other (please specify) Question Title * 7. What kind of exam did you receive? Screening mammogram Diagnostic mammogram Bone Density CT scan MRI PET Xray Other (please specify) Question Title * 8. Did you feel your exam was performed in a timely manner? Please explain. Yes No Comments Question Title * 9. Did you feel our facility was clean and comfortable? Yes No Other (please specify) Question Title * 10. Did we communicate with your family/friends in a timely manner? Yes No Other (please specify) Question Title * 11. Would you return for further treatments/tests? Yes No Other (please specify) Question Title * 12. What recommendations would you make for our facility? Question Title * 13. If you would like to be contacted regarding your experience in our facility please complete your name, phone number and email address below. Question Title * 14. We continually strive to improve our services. Please check which of the below items are important to you. Easy access Pre-insurance verification Competitive pricing Reduced wait times Fast test results Radiologist calls results Highly skilled team Compassionate care Personal attention Quality/accreditations Soothing, spa-like atmosphere Comforting, pre-warmed blankets Plush robes, gowns, comfort clothing Wellenss food and beverage service Technology amenities (WiFi, HDTV, iPad, Bluetooth) Music and reading library Yoga Massage Aromatherapy Other (please specify) Done
