Patient Survey: SMIL - Scottsdale Medical Imaging

Thank you for your visit to our facility. We would appreciate your feedback so we can serve you better in the future.
All responses will be kept confidential.

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 number

e-mail address