Tel: 212­-772­-3111

Schedule an appointment
Physician Resources

Physician Satisfaction Survey

All Comments will remain confidential

  *required fields
Name*:
Office*:
Email:
  Physician  
Office manager  
Administrator  
Other  
Please rate each of the following as apply:  
Scheduling Department  
Schedulers identify themselves by name:
Phones answered promptly and hold time is minimal:
Was your appointment scheduled to your satisfaction:
Availability of appointments:
Knowledge & courtesy of our scheduling staff:
Scheduling requests handled without delay:
Knowledge & courtesy of our precertification/billing staff:
Are our referral pads easy to use? Yes    No   
Comments:
Reception  
Receptionist interaction with patients:
Comments:
Technologists  
Technologist Service:
Protocols:
Quality of images/technique:
Professionalism & knowledge of our Technologists:
Technologist interaction with patients:
Comments:
Radiologists  
Radiologist Service:
Attributes of a good Diagnostic report should be summarized as the six C's- Reports Clear, Correct, Concise, Complete, Consistent and have a high level of Confidence:
Availability of Radiologists for consultation:
Comments:
Medical Records Department  
Medical records staff identify themselves by name:
Knowledge & courtesy of our medical records staff:
Medical records requests handled without delay:
Comments:
Overall Service  
Report turnaround time:
Wet read service:
Days/hours of service:
Online reports/images:
Courier service:
Patient feedback:
Response to your comments/complaints:
Overall service:
Would you prefer to receive reports by: Courier
Fax
Online
Email
Select any combination of the above

Would you like to receive further information about our facility Yes    No   
Do you use more than 1 radiology facility Yes    No    Sometimes   


Are there particular staff members that you find especially helpful:
Are you aware we offer, free digital storage of all your patients images? These can be printed upon request on film, paper or CD or used for future comparison at our office.

Additional comments about our facility overall?