Progressive Radiology

Patient Satisfaction Survey

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Please take a few minutes to fill out this survey on the timeliness and the quality of the service(s) you received. We welcome your feedback and all your answers will be kept confidential. Thank you for your participation.

Your Visit

Please rate your level of satisfaction for each question below:

5 = Excellent, 4 = Very Good, 3 = Good, 2 = Fair, 1 = Poor, N/A = Does Not Apply

A. Your Visit

How would you rate your visit today, overall?

N/A

B. Our Front Office

Was our office staff kind, compassionate and communicative?

N/A

C. Our Technologists

Was our technologist professional and informative regarding your test?

N/A

D. Your Questions

Were any billing questions answered to your satisfaction?

N/A

E. Our Facility

Was the facility clean, warm and inviting?

N/A

F. Your Overall Satisfaction

Would you recommend our center to a friend or family member?

N/A

G. General

1.	How did you hear about us?
2.	For any answer less than "5" above, what would it take to make it at "5"? Please add any additional comments you may have:

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Thank you for taking the time to fill out our survey. We rely on our patient's feedback to help us improve our services to you. Your input is greatly appreciated.

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Your Appointment was at which location: *

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