Satisfaction Survey

Satisfaction Survey

Please fill out the form below to help us better serve you. Thank you!

We invite you to complete the following satisfaction survey. Your participation will allow us to better serve you in the future.

What type of exam did you have?
MRICT ScanUltrasoundX-RayOther

Why did you go to Cedar Court Imaging for your exam?
You may select more than one:
I have been to Cedar Court Imaging before.Cedar Court Imaging cost me less than other imaging providers.I requested that my exam be performed at Cedar Court Imaging.The physician's office that ordered my exam recommended Cedar Court Imaging.My physician's office gave me a choice of providers and I chose Cedar Court Imaging.A friend or relative recommended Cedar Court Imaging to me.I chose Cedar Court Imaging from my insurance plan listing.

Was our office pleasant and comfortable?
10987654321

Was our receptionist friendly and courteous?
10987654321

Was your registration handled efficiently?
10987654321

If you had a prearranged appointment time, were you called for your exam in a timely manner?
YesNoN/A

If you had to wait more than ten minutes beyond your appointment time, were you give an explanation for the delay?
YesNoN/A

Was the technologist professional and caring?
On a scale of 1 to 10, with 10 being the most professional and caring:
10987654321

How well did the technologist explain the procedure to you prior to your exam?
On a scale of 1 to 10, with 10 being the most professional and caring:
10987654321

Were you satisfied with the overall care you received at Cedar Court Imaging?
On a scale of 1 to 10, with 10 being the most professional and caring:
10987654321

If you like, please provide us with your name, email address & phone number so we can address your questions and concerns (Optional):

Please provide any suggestions on how we can care for you better:

By selecting “Yes” below, I authorize Cedar Court Imaging to share my feedback (without my name or contact information) on the Cedar Court Imaging website, on Cedar Court Imaging’s Facebook page, and as part of Cedar Court Imaging’s educational, marketing, and advertising campaigns. I understand that this authorization is not required in order to provide survey feedback, and that any such use will be without compensation, but greatly appreciated.
YesNo