Valley Imaging Center - Patient Satisfaction Survey
Please take 2 minutes to complete our brief Customer Service Satisfaction Survey - We would like to hear from you! This information helps us to serve you better.
The Limestone Radiology Associates, PC Quality Management department is conducting this survey to assess patient satisfaction at Valley Imaging Center.
The data is compiled and a report is generated quarterly by the Quality Management Department and evaluated by Valley Imaging Center.
NOTICE: Information you provide to us through this survey is confidential and anonymous. The information is used to help us understand how we are operating from your perspective. If you have a specific question or concern, please contact us . Thank you for taking our brief customer satisfaction survey!
* = Required Field
* Primary procedure for which you are providing feedback (select one):
* 1. Was your exam performed at the time of your appointment?
Yes No Waited greater than 15
minutes
* 2. Did the staff treat you with courtesy and respect?
Yes No
* 3. Was your imaging exam explained to you in a way you could
understand?
Yes No
* 4. Did the staff listen carefully to you if you had a question
or concern?
Yes No
5. How did you hear about Valley Imaging Center?
Physician
Referral Phonebook or Online Directory Advertisement (Radio/TV/newspaper/Billboard) Friend/Family Valley's Website
Other
* 6. How would you rate your overall experience at Valley Imaging Center?
Excellent Good Fair Poor Very Poor
* 7. Would you recommend Valley Imaging Center of Athens to others?
Definitely Would Probably Would Probably Would Not Definitely Would Not
8. Is there anyone at Valley you would like to recognize for
exceptional service?
9. Please share with us any positive comments, or areas
for improvement:
Optional:
Name: Phone: Email: