Westside Medical Imaging Survey
1.

How long have you used our imaging services?
Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years or more
2.

Which of our services do you use? Select all that apply.
Cardiac CT
Body CT
MRI
PET Oncology
Cardiac PET (Rubidium)
None of the Above
3.
How would you rate your level of satisfaction with us?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
4.

How do we rate on the following attributes?
 Well Below Average Below Average Average Above Average Well Above Average 
Ease of scheduling appointments
Professionalism
Quality of reports
Report Dissemination
Radiologist
Price
Patient Feedback
  • Comment:

  • 500 characters left.
5.
How likely are you to continue doing business with us?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
6.

How likely is it that you would recommend our imaging servies to a friend or colleague?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
7.

Do you have any suggestions for improving the services at Westside Medical Imaging?
 

350 characters left.