Patient Satisfaction Survey - Windsong Radiology Group

Patient Satisfaction Survey

Your comments and suggestions are very important to us!

Thank you for choosing Windsong Radiology Group. We realize you have a choice for your imaging needs and appreciate your support. We strive to continuously improve our facilities and services and value your feedback to help us do so. Please let us know how we can better meet your needs.

Appointment Information

Date of your appointment: MM/DD/YYYY

Scheduled time of your appointment:

What services were done?

Was this your first time at Windsong Radiology? Yes No

What prompted you to make your appointment with us?

Please rate the following statements

1 - Stongly Disagree 2 - Disagree 3 - Uncertain or Neutral 4 - Agree 5 - Strongly Agree
	1	2	3	4	5
I was able to make an appointment for a date and time that was reasonable and convenient to me.
The registration and waiting areas were welcoming, clean and comfortable.
I was encouraged to ask questions and all of my questions were answered to my satisfaction.
The personal manner of the team members in the following areas was courteous, respectful, friendly, and compassionate. All of my questions or concerns were well addressed:	1	2	3	4	5
Phone/Appointment Scheduling
Registration
Technologist
Radiologist
Office and Billing
The professional or technical skill of the team members in the following areas was thorough, careful and competent:	1	2	3	4	5
Phone/Appointment Scheduling
Registration
Technologist
Radiologist
Office and Billing
I was satisfied with:	1	2	3	4	5
The total length of time it took for my appointment.
The time I waited before being brought in to dressing areas.
The time I waited before having my services.
The time I waited after having my services.
I appreciate being able to choose if I want to stay for my results or leave without results.
I was satisfied with the explanations of exam procedures, results and/or treatments that I received.
I would recommend Windsong Radiology Group to friends and family.

Additional Comments

Additional Comments:

Name:

Address:

Address 2:

City:

State:

Zip Code:

E-mail Address: *

Would you like to be contacted regarding your experience or any comments listed? Yes No

Thank you for taking time to complete this survey. We value your opinion.