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Surveys
2013
August
P
Patient Experience Survey
Patient Experience Survey
Patient Experience Survey
0%
Which doctor did you see today?
Ahmed Farag
Joan Werber
Michael Racenstein
What procedure(s) did you undergo?
Digital Mammography
General Ultrasound
Breast Ultrasound
Bone Density Testing
Core Needle Guided Biopsy
Other
Please rate the following:
Poor
Below Average
Neutral
Above Average
Excellent
Office Appearance
Cleanliness of Exam Room
Technologist Friendliness
Doctor Friendliness
Front Desk Staff
Waiting Time
Time in Exam Room
Time Waiting for Test Results
How easy was it to make an appointment that accommodated your schedule?
Very Difficult
Difficult
Neutral
Easy
Very Easy
Were you satisfied with the level of communication between you and your doctor?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Are you a returning patient?
Yes
No
If this is your first visit, would you return?
Yes
No (Explain)
Would you recommend Diagnostic Imaging Specialists to a friend?
Yes
No
Maybe
Explain (optional)
How would you rate your overall experience at Diagnostic Imaging Specialists of Chicago?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
What are we doing especially well at Diagnostic Imaging Specialists of Chicago?
What can we do to improve?
How did you hear about Diagnostic Imaging Specialists of Chicago?
My Doctor
A Friend/Family Member
Online Search (Google)
Social Media
Other
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