SAH Diagnostic Imaging Patient Survey
What type of test did you have today?
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Breast Care Center: Mammography/Breast Ultrasound/Bone Density
Cardiac Testing
CT Scan
MRI
Nuclear Medicine
Ultrasound
X-Ray
Courtesy and promptness of the front desk staff.
- Select -
Excellent
Very Good
Good
Poor
Very Poor
General appearance and comfort of waiting area.
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Excellent
Very Good
Good
Poor
Very Poor
We are committed to providing service in a timely manner. Please rate your wait time.
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Excellent (earlier than expected)
Very Good (on time)
Good (short wait)
Poor (longer than expected)
Very Poor (excessively long)
If you experienced a delay with your appointment, was an explanation provided to you?
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Yes
No
N/A
Courtesy and professionalism of the technologist: Did the technologist introduce themselves to you?
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Yes
No
N/A
Was your test or procedure explained to you by the technologist?
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Excellent
Very Good
Good
Poor
Very Poor
Overall rating of the care you received and experience with your test/procedure.
- Select -
Excellent
Very Good
Good
Poor
Very Poor
Likelihood of recommending Saint Anne’s Diagnostic Imaging Services to others.
- Select -
Excellent
Very Good
Good
Poor
Very Poor
Additional Comments:
Date of Services
Name (optional)
Leave this field blank