Patient Satisfaction Survey

ABSOLUTE SOLUTIONS

* Indicates required field

Date of Exam *

Imaging Facility *

City / State *

If Other please specify: *

1) How easy was it to schedule your appointment? *

2) Was the scheduling staff courteous and helpful? *

3) Were you informed of your appointment and what to expect? *

4) Was the imaging facility clean and comfortable? *

5) Did the facility staff treat you with courtesy and respect? *

6) Were wait times reasonable upon arrival? *

7) Were you provided clear instructions before and after your exam? *

8) Did your imaging center appear well-organized and efficient? *

9) Did your provider explain what would happen during the exam? *

10) Were you satisfied with how quickly your results were delivered to your physician? *

11) Did Absolute Solutions staff keep you informed about your appointment and follow-up? *

12) Did you feel comfortable reaching out for questions or support? *

13) Was your overall experience with Absolute Solutions positive? *

14) How likely are you to recommend the imaging facility to others? *

15) How likely are you to recommend Absolute Solutions? *

Additional Comments or Suggestions *

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