Customer Service Satisfaction Survey - Coordinator

Please tell us your opinion about the services you receive at Mass General Imaging. The survey below takes less than 5 minutes to complete. Your responses will be kept strictly confidential.

At the end of the survey, you may enter a drawing to win a $20 Coffee Central gift card.

Thank you for your valued input.

* Is the physician you work with an MGH affiliated physician?

Yes

No

* What is your office's specialty?

* Which MGH Imaging locations do you refer your patients to? (check all that apply)

* What portion of your imaging referrals do you send to Mass General Imaging?

* Where else do you refer your patients for imaging services? (check all the apply)

MRI Centers of New England

Shields MRI

West Suburban Imaging

Other Partners Hospital

Non-Partners Hospital

Other (please specify)

* What are the most common reasons for referring your patients to someone other than Mass General Imaging? (check all the apply)

Better customer service

Easier to find a same day appointment

Easier to find a convenient appointment time within a of couple days

Insurance reasons

Location is more convenient to the patient

Other

Please rate Mass General Imaging on:

Appointment process

The friendliness and helpfulness of our staff

Our support tools

Access to clinical information

Your overall satisfaction with

What are Mass General Imaging's strengths, or what does it do particularly well?

What are Mass General Imaging's weaknesses, or what would you like to see it improve?

* Would you like to enter into our drawing for a $20 gift card to Coffee Central?

Yes

No

To enter our drawing for a $20 Coffee Central gift card, please enter your name and email address.

* First Name :
* Last Name :
* Email Address :