Tel: 212-772-3111

Patient Satisfaction Survey

We would like to know how you feel about the services we provide so we can make sure we are meeting your needs.

Your responses are directly responsible for improving these services.

All responses will be kept confidential and anonymous. Thank you for your time.

Your Age:

Your Sex Female Male

First time at LHR? Yes No

Date of procedure (mm/dd/yy):

Name and/or account #(optional):

Please rate how well you think we are doing in the following areas:

Appointment Preferences

Appointment availability:

Hours center is open:

Convenience of Centers location:

Waiting

Time in waiting room:

Waiting for tests to be performed:

Staff

Scheduler

Friendly and helpful to you:

Answers your questions:

Front Desk

Friendly and helpful to you:

Answers your questions:

Technologists, Nurses, Medical Assistants

Friendly and helpful to you:

Explain procedure to you:

Answers your questions:

Facility

Neat and clean building:

Ease of finding where to go:

Comfort and safety while waiting:

Privacy:

Confidentiality

The likelihood of referring your friends and relatives to us:

Overall, how satisfied were you with your experience:

Overall comment