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Provider Satisfaction Survey

This survey takes approximately 3 minutes to complete.

Thank you for your recent referral.

Dear Referring Provider,
Cooperative Magnetic Imaging continually strives to maintain the highest level or service and overall professionalism. Your comments are valued and appreciated. This survey is for services provided at Cooperative Magnetic Imaging in Utica, New York. Please take a few minutes to complete this survey and let us know how your experience was with us. We value your comments. If you prefer, you may download and mail the survey to Lori Darmody at CMI, 107 Business Park Drive, Utica, NY 13502. Leaving your name is optional, but if you would like us to get back to you please leave us contact information. Thank you for your time.

1. Radiologists Services:
a. Quality/ Accuracy of reports
Poor
Needs Improvement
Good
Very Good
Excellent
b. Consultation Availability
Poor
Needs Improvement
Good
Very Good
Excellent
c. Cooperation with you
Poor
Needs Improvement
Good
Very Good
Excellent
2. Overall Services:
a. Quality of Images
Poor
Needs Improvement
Good
Very Good
Excellent
b. Cooperation with office staff
Poor
Needs Improvement
Good
Very Good
Excellent
c. Waiting time for patients
Poor
Needs Improvement
Good
Very Good
Excellent
d. Ease of PACS system or CDs.
Poor
Needs Improvement
Good
Very Good
Excellent
e. Response to your complaints
Poor
Needs Improvement
Good
Very Good
Excellent
3. Office Services
a. Accuracy of transcription reports
Poor
Needs Improvement
Good
Very Good
Excellent
b. Availability/ timeliness of reports
Poor
Needs Improvement
Good
Very Good
Excellent
c. Ease of scheduling of patients
Poor
Needs Improvement
Good
Very Good
Excellent
d. Cooperation with your office staff
Poor
Needs Improvement
Good
Very Good
Excellent
e. Phone hospitality
Poor
Needs Improvement
Good
Very Good
Excellent
f. Clerical assistance with reading reports over the phone
Poor
Needs Improvement
Good
Very Good
Excellent
4. Technology
a. Quality of Technology
Poor
Needs Improvement
Good
Very Good
Excellent
Your general comments and suggestions:
Name of person completing this survey (optional):
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