Patient Satisfaction Survey

1. Please describe your level of satisfaction with the scheduling process:

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

2. Please describe your level of satisfaction with the check-in process:

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

3. How long after you checked in did you wait to be served?

No Wait Time

10 Minutes

20 Minutes

30 Minutes

Other

4. What imaging service(s) did you receive?

MRI

CT

X-ray

Ultrasound

Mammography

Bone Densitometry

Other

5. Please describe your overall level of satisfaction with our imaging services:

Very Satisfied

Satisfied

Dissatisfied

Very Dissatisfied

6. How likely are you to return to Prohealth Advanced Imaging for future imaging services?

Very Likely

Likely

Unlikely

Very Unlikely

7. How likely are you to recommend Prohealth Advanced Imagin to others?

Very Likely

Likely

Unlikely

Very Unlikely

8. How does Prohealth Advanced Imaging compare with similar services you may have received in the past two years?

Much Better

Better

Worse

Much Worse

Not Applicable

9. May we use your comments online?

Yes

No

10. What one thing could we do to improve our services?

11. Other Comments