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Patient Survey

Thank you for entrusting SMIL with your health care. Please feel free to tell us about your experience using the below survey. If you would prefer to send us your feedback via traditional mail, please send to:

Scottsdale Medical Imaging
Att: Patient Feedback/Business Office
P.O. Box 1573
Scottsdale, AZ 85252-1573

Please indicate the type of exam you had. (check all that apply):

Mammogram Bone Density CT Other
General X-Ray Nuclear Medicine MRI
Fluoroscopy Stereotactic Breast Biopsy Ultrasound

Have you been to any SMIL facility before?

YES NO

Before my recent visit, my expectations concerning the quality of care and service that I would receive at SMIL were:

Very Low Low Average High Very High

My experience at SMIL was:

Much better than expected About the same Much worse than expected
Better than expected Worse than expected

Please evaluate the following:

Strongly Agree > Disagree N/A

The time between my doctor ordering my exam and the time it was completed was just right.

5 4 3 2 1 N/A

The office was easy to find.

5 4 3 2 1 N/A

Parking was convenient.

5 4 3 2 1 N/A

The office was clean and neat.

5 4 3 2 1 N/A

The overall service was prompt.

5 4 3 2 1 N/A

The front office staff was courteous.

5 4 3 2 1 N/A

The technologist was professional and personable.

5 4 3 2 1 N/A

The radiologist provided professional service.

5 4 3 2 1 N/A

Compared to other imaging sites, SMIL provides better patient service.

5 4 3 2 1 N/A

If my healthcare plan did not allow me to use SMIL, I would be distressed.

5 4 3 2 1 N/A

If my healthcare plan did not allow me to go to SMIL, I would consider changing plans.

5 4 3 2 1 N/A

I am aware that SMIL offers screening CT scans.

YES NO

I am aware that SMIL offers digital mammography and breast MRI.

YES NO

I have visited the SMIL web site.

YES NO

Overall impression or other comments:

If you would like us to contact you, please enter your name, telephone number and/or email address below.

Name
Telephone
Email