Please take a few moments to complete this survey. Its purpose is to evaluate your opinion of our services and to identify areas for improving services to you and your patients. Your contact information is optional.
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Please rate our services
RESULTS RECEIVED IN A TIMELY FASHION
Excellent Good Average Below Average Poor Not Applicable
SATISFACTION WITH QUALITY OF EXAMINATION AND REPORTS PROVIDED
Excellent Good Average Below Average Poor Not Applicable
PATIENT EXPERIENCE
Excellent Good Average Below Average Poor Not Applicable
APPOINTMENT AVAILABILITY
Excellent Good Average Below Average Poor Not Applicable
DO WE PROVIDE ADEQUATE ATTENTION TO YOUR SPECIAL REFERRAL REQUESTS SENT BY FAX
Excellent Good Average Below Average Poor Not Applicable
DO WE PROVIDE ADEQUATE ATTENTION TO YOUR SPECIAL REFERRAL REQUESTS SENT BY PHONE
Excellent Good Average Below Average Poor Not Applicable
DO WE PROVIDE ADEQUATE ATTENTION TO YOUR SPECIAL REFERRAL REQUESTS SENT BY COURIER (FILMS)
Excellent Good Average Below Average Poor Not Applicable
COURTESY OF STAFF
Excellent Good Average Below Average Poor Not Applicable
OVERALL QUALITY OF SERVICE
Excellent Good Average Below Average Poor Not Applicable
General Comments
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