Online Resources | Doctors Imaging Group

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. Your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Thank you for your time.

Your Age:
Your Sex:
Office Location:
Procedure (if known):

Please select how well you think we are doing in the following areas:

Ease of getting care
1. Hours Center is open:
2. Convenience of Center's location:
3. Prompt return on calls:

Waiting
4. Time in waiting room:
5. Time in exam room:
6. Waiting for tests to be performed:

Staff
7. Explain the procedure to you and answer your questions:
8. Respectful and courteous during your exam:
9. Friendly and helpful to you:

Payment
10. What you pay:
11. Explanation of charges:
12. Collection of payment/money:

Facility
13. Neat and clean building:
14. Ease of finding where to go:
15. Comfort and Safety while waiting:
16. Privacy:

Confidentiality
17. Keeping my personal information private:
18. The likelihood of referring your friends and relatives to us:

19. What do you like best about our center?

20. What do you like least about our Center?

21. Suggestions for improvement?

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