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Surveys
2015
October
P
Patient Survey
Patient Survey
0%
Exit Survey
Are you:
Male
Female
What is your age?
less than 18
18 to 34
35 to 44
45 to 54
55 to 64
64+
How involved were you, personally, with the decision to come to our center?
Not At All
Very Little
Somewhat
Quite
It Was 100% My Decision
What factors influenced your decision to come here? Pick your top three.
Doctor recommendation
Got in fast
Convenient time
Quality reputation
Insurance coverage
Out-of-pocket cost
Past experience here
Specific procedure
Please rate your
experience with our
team (each on a
scale):
Please note that a rating of 1 = poor service, a rating of 7 = excellent service
1- Strongly agree
2-Disagree
3-Somewhat disagree
4-Neither agree or disagree
5-Somewhat agree
6-Agree
7-Strongly agree
The scheduling and registration process was easy and straightforward.
When I arrived, I was treated with respect by the team at the front desk.
I was satisfied with how the clinical team (nurse and/or technologist) treated me..
I was satisfied with the information I received from your staff related to my visit.
If asked, I would recommend this center a friend or family member.
I utilized your web site (myCDI.com) to prepare for my visit.
Yes
No
Would you like to share any other comments about your experience with our team today?
If you would like us to get in touch with you, please provide the best way to get in contact with you.
2015 - Center for Diagnostic Imaging Survey Team
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