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: |
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
2. Overall Services: |
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
3. Office Services
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
4. Technology
|
Poor
Needs Improvement
Good
Very Good
Excellent
|
Your general comments and suggestions: |
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Name of person completing this survey (optional): |
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