Skip to content
Physician Login
Pay Bill
Schedule an Appointment
Home
Services
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)
Ultrasound
X-Ray
Advanced Procedures
Wellness Imaging
About Us
Our Radiologists
For Patient
Online Patient Forms
Patient Satisfaction Survey
For Physicians
Refer Patients
Quality Assurance Questionnaire
Locations
Home
Services
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)
Ultrasound
X-Ray
Advanced Procedures
Wellness Imaging
About Us
Our Radiologists
For Patient
Online Patient Forms
Patient Satisfaction Survey
For Physicians
Refer Patients
Quality Assurance Questionnaire
Locations
Patient Satisfaction Survey
Home
/
Patient Satisfaction Survey
Patient Satisfaction Survey
proadmin
2012-02-08T02:17:51+00:00
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
reCAPTCHA
Submit
