REFERRING HEALTH CARE PROVIDER SURVEY KINGSTON IMAGING SERVICES

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Part of our required Quality Assurance program is a Referring Health Care Provider Survey to assess your satisfaction with the service we provide. We would appreciate it if you would take the time to complete this questionnaire with your feedback.

Name of Health Care Provider:

Is the phone answered promptly?

Yes

Clear selection

Does our receptionist have a pleasant and accommodating telephone manner?

Yes

Clear selection

Are you able to book appointments within a reasonable amount of time?

Yes

Clear selection

Do you receive a written report within 2-3 days following the examination?

Yes

Clear selection

Are you receiving "STAT" verbal reports when you expect them?

Yes

Clear selection

Have your patients expressed any concerns after being examined at our facility?

Yes

Clear selection

Have your patients expressed any concerns after being examined at our facility?

Yes

Clear selection

If yes, please explain

Do you have suggestions that would help us improve our services to you and your patients?

THANK YOU FOR COMPLETING THIS SURVEY

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