Your Name
Your Email
Based on the service you have received in the past year, how satisfied are you with the following:
DIGITAL radiography services Very SatisfiedSatisfiedNeutralDissatisfied
Ultrasound Services Very SatisfiedSatisfiedNeutralDissatisfied
Mammography Services Very SatisfiedSatisfiedNeutralDissatisfied
Bone Densitometry Services Very SatisfiedSatisfiedNeutralDissatisfied
DOCTOR PORTAL for reports & images Very SatisfiedSatisfiedNeutralDissatisfied
Quality of reports Very SatisfiedSatisfiedNeutralDissatisfied
Length of time to obtain routine appointments Very SatisfiedSatisfiedNeutralDissatisfied
Length of time to have a patient with an urgent problem seen Very SatisfiedSatisfiedNeutralDissatisfied
Length of time to obtain typed results for a routine imaging test, once your patient is seen Very SatisfiedSatisfiedNeutralDissatisfied
Length of time to obtain a verbal report for an urgent request Very SatisfiedSatisfiedNeutralDissatisfied
______________________________________________________________________________________
Front desk staff are friendly, courteous and helpful AlwaysSometimesRarely
Does our staff help arrange bookings at our other nearby locations when needed? AlwaysSometimesRarely
Technical staff are friendly, courteous and helpful AlwaysSometimesRarely
Are you satisfied with our hours of operation? YesNo
If No - what hours would you like us to be open?
Are you happy with the communication with our radiologists when needed? YesNo
If No - please comment:
Do you use our physician portal for our reports and/or images? YesNo
Are you connected with Hospital Report Manager (HRM) to receive our reports? YesNo
Please add any additional comments you may have:
Thank you for your time.
© Gam Diagnostic Imaging