Physician Office Satisfaction Survey | Papastavros' Associates Medical Imaging

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Mon, 05/25/2009 - 22:14 — admin

We are committed to providing the best imaging services and experience possible to both your office and to your patients. The most valuable tool we have for evaluating our service is your feedback and perspective. Thank you for taking the time to make your comments available to us, and thank you for referring to our centers.

Office name:

Evaluator's name:

What is your position in the office?: *

MD

PA / NP

RN

Office Manager

Referral Coordinator

Other

Operations

1 = Poor, 4 = Excellent

Ease of getting through by phone: *

1

2

3

4

N/A

Ease of scheduling an appointment: *

1

2

3

4

N/A

Friendliness of staff: *

1

2

3

4

N/A

Image quality: *

1

2

3

4

N/A

Report turnaround time: *

1

2

3

4

N/A

Access to images / reports online if applicable (web portal): *

1

2

3

4

N/A

Radiologists

1 = Poor, 4 = Excellent

Accuracy / Quality of reports: *

1

2

3

4

N/A

Availability for consultation: *

1

2

3

4

N/A

Patient Experience Feedback

Customer Service: *

1

2

3

4

N/A

Cleanliness of our facility: *

1

2

3

4

N/A

Location / Access to our facility: *

1

2

3

4

N/A

Overall

How well do we anticipate your needs: *

1

2

3

4

N/A

Likelihood you will refer to our center again: *

1

2

3

4

N/A

Our service favorably differentiates us from other imaging providers: *

1

2

3

4

N/A

Additional comments

What is most memorable about our service?:

What one thing could we do to enhance our service to your practice?:

Other comments?: