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Practice Staff Satisfaction Survey
QUALITY ASSURANCE
Please indicate the level of satisfaction that best reflects your experience with Melbourne Specialist Imaging
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
N/A
Courtesy and helpfulness of office staff
Calling to make an appointment
Phones answered promptly and hold time is minimal
Timely response to voice mail messages
level of knowledge/courtesy of our front desk employees
Front desk interaction with your patients
FILMS & REPORTS
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
N/A
Delivery of Reports (Faxed / Electronically downloaded)
Courtesy of film delivery courier
NEEDS ASSESSMENT
Please rate the importance of the following to you/your practice:
Not Important
Slightly Important
Important
Very Important
Essential
Reputation of x-ray faculty
Accessibility of Radiologists
Office visit from marketing/company representative
quality of diagnostic equipment
Travel distance for patient
Availability of parking
Availability of urgent and same day appointments
Access to electronic images
Access to images/reports online
Who typically schedules imaging services for your patients?
Patient
Physician
Office Staff
In your own words, feel free to share your past experience in dealing with MSI:
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How can our services be improved?
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Name (optional):
Practice: