Strongly Agree

Agree

Disagree

Strongly Disagree

Does Not Apply

I found it easy to schedule my appointment online.

I would use the online scheduler in the future.

I received understandable pre-exam instructions prior to my appointment.

When I arrived, the receptionist was courteous and made me feel comfortable.

The check-in process was efficient and easy.

I was seen at or near my appointment time.

I was treated with care and consideration by the Technologist that performed the test.

I would recommend University Radiology to family and friends.

Additional comments:

What procedure(s) did you have performed?
Please select all that apply

Where did you have your procedure performed?
Please select the office

Why did you choose University Radiology?
Please select all that apply

Optional (will be kept confidential)

Name
Phone

Thank you for participating.