Patient Satisfaction Survey

How did we do today?

Your feedback makes a difference! Just 30 seconds will help us provide even better services.

NOTE: Are you from a provider's office? Go instead to the Provider Satisfaction Survey to give your feedback.

Practice Name

Please select the RadNet Practice where you received service

Practice

Location

Please select the imaging center location where you received service

Which service did you receive?

MRI

X-Ray/Interventional

Mammography

Ultrasound

Nuclear/PET/PETCT

DEXA

(Check all that apply)

Appointment Scheduling

4 - Excellent

3 - Good

2 - Average

1 - Poor

Please rank in terms of convenience, professionalism, and expectations met.

Front Desk

4 - Excellent

3 - Good

2 - Average

1 - Poor

Please rank in terms of promptness, friendliness, professionalism, and knowledge.

Employee Name (optional)

Technologist

4 - Excellent

3 - Good

2 - Average

1 - Poor

Please rank in terms of promptness, friendliness, professionalism, and knowledge.

Employee Name (optional)

Facility

4 - Excellent

3 - Good

2 - Average

1 - Poor

Please rank in terms of cleanliness, comfort, and location/access.

Why did you choose our imaging center?

Convenient Location

Previous Visit

Advertising

Insurance Referral

Physician Referral

Reputation

Other

(Check all that apply)

Additional Comments? (Optional)

Please include any additional comments below.

I would like to be contacted to discuss my experience at the center.

Your Name

Your Phone Number

Leave this field blank

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