Patient Satisfaction Survey

We wish to provide our patients with excellent care and service that is prompt, courteous and of the highest quality. Your responses to the following questions will assist us in our efforts to refine our services to ensure that you receive the best possible care. We encourage you to leave your contact information but we will respect your wish not to be contacted, if so desired. PALM BEACH RADIOLOGY appreciates your time and comments. Thank you!

Please take a moment to answer a few questions about the service you received during your recent visit.

If you called us on the phone, was your call answered promptly?
Yes
No
Would you return to this center?
Yes
No
Would you refer a friend or family member to our center?
Yes
No

Please rate the following:

Courtesy of the person who took your call?
Excellent    |    Very Good    |    Good    |    Fair    |    Poor
Efficiency of the Check_in process and paperwork?
Excellent    |    Very Good    |    Good    |    Fair    |    Poor
Courtesy and kindness of our office staff?
Excellent    |    Very Good    |    Good    |    Fair    |    Poor
Courtesy and kindness of our technologist(s)?
Excellent    |    Very Good    |    Good    |    Fair    |    Poor
Thoroughness of our staff in explaining the services & procedures to you?
Excellent    |    Very Good    |    Good    |    Fair    |    Poor
How would you rate your overall experience?
Excellent    |    Very Good    |    Good    |    Fair    |    Poor
We welcome your comments:
Name:


Email:


Phone:


May we contact you about this survey?
Yes
No