Diagnostic Professionals, Inc.

Patient Satisfaction Survey

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. We thank you in advance for completing this survey.
 
1.

Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com

2.

Confirm email:
 

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3.

Your Physician's name:
 

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4.

Type of exam prescribed:
MRI / MRA
CT / CTA
Nuclear Medicine
Ultrasound
X-Ray
Dexa (Bone Density)
Other  
5.

Who recommended our center to you:
 

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6.

Which center provided your procedure?
DPI of North Broward (Coconut Creek)
DPI of Fort Lauderdale
DPI of Plantation
DPI of Pembroke Pines
7.

How do we rate on providing your care?
 Great Good OK Fair Poor 
Schedule of a timely appointment
Time in waiting room
Time spent at our facility
8.

How does our staff rate on providing your care?
 Great Good OK Fair Poor 
Helpfulness of the person scheduling your appointment
Friendliness / courtesy of the staff at our facility
Friendliness / courtesy of the technologist who provided your test
9.

Was there anyone who was especially helpful?
 

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10.

Rate our facility
 Great Good OK Fair Poor 
Cleanliness of the facility
Location convenience
Overall feeling of the facility
11.

Driving distance (miles)
 

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12.

Time it took you to drive to our facility
 

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13.

If in need of future diagnostic services, how likely are you to use our company?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
14.

Will you recommend us to your family and friends?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
15.

Did we provide any of the following services for you?

Transportation
Early morning or late evening appointment
Same day appointment for emergency
16.

Did you have any other special circumstance we were or were not able to accommodate?
 

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17.

What was the name of the diagnostic center you have used in the past?
 

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18.

Do you have any suggestions for improving our services?
 

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