Patient Satisfaction Survey

Name*

First Last

Date of Visit*

Name of Physician*

How easy was it to make your appointment?*

1 = Worst 5 = Best

How courteous was our reception staff?*

Did your technologist answer all of your questions?*

Was your technologist helpful and did they make you feel comfortable?*

Was the office room wait time appropriate?*

If no, how long did you wait?

Was our follow up (test results, return calls, etc.) adequate?*

What was your overall satisfaction level with your care at Seton Imaging?*

Comments

Which location did you visit?

Do we have permission to share your review on our website?*

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