You can help us improve our service by taking a moment to complete this brief survey. Your opinions are important, and we thank you for completing it.

On-line Surveys

Name
Address
City
State
Zip Code
Telephone
Which office did you visit?
*
What type of exam were you here for on your most recent visit?
CT
MRI
X-Ray
Ultrasound
Nuclear Medicine
Mammography
Other
Was this your first visit to us?
Yes
No
How were your telephone calls to our office handled?
Excellent
Good
Fair
Poor
How helpful were our receptionists in finding an appointment that met your needs?
Were our office hours convenient for you?
Yes
No
If no, how could we better arrange our hours to meet your needs?
How would you rate the appearance of our office?
Excellent
Good
Fair
Poor
How would you rate the quality of care given by our Reception/Office staff
Excellent
Good
Fair
Poor
How would you rate the quality of care given by our X-Ray Technologist
Excellent
Good
Fair
Poor
How would you rate the quality of care given by our Doctor
Excellent
Good
Fair
Poor
Exam didn’t require a doctor to see me
How did you find out about us?
My doctor
A friend
My family
My employer
Advertisement
Yellow pages
Other
Would you recommend our facility to others?
Yes
No
How might we improve our services?
Note: all fields marked with an asterisk are required.