Our records indicate that you recently had a radiological exam at Columbia-Presbyterian Eastside Radiology. As part of our ongoing effort to provide the highest possible level of medical services, we ask for a few minutes of your time to complete this postage-free survey. Thank you for your participation.

1. Who called to make your appointment? Myself My physician's office Other
2. Which type of exam did you have? MRI CT Mammography X-Ray Ultrasound Other
3. The decision to use our Center was made by: Myself My physician Insurance Plan Affiliation
Please circle the level of satisfaction that best reflects your experience with our Center: 1= very dissatisfied, 2 = dissatisfied, 3 = neutral, 4 = satisfied, 5 = very satisfied
4. Calling to make an appointment ..................................................................................	1 2 3 4 5
5. Choice of appointment times ......................................................................................	1 2 3 4 5
6. The preparations for your specific test/exam were adequately explained ...............	1 2 3 4 5
7. Registration process at the front desk/courtesy of the staff .....................................	1 2 3 4 5
8. Explanation of our billing policies and procedures .....................................................	1 2 3 4 5
9. Waiting time before procedure. ..................................................................................	1 2 3 4 5
10. Courtesy of our nurse and/or technologist ................................................................	1 2 3 4 5
11. Explanation of what to expect during your exam ......................................................	1 2 3 4 5
12. How questions were answered by our staff .............................................................	1 2 3 4 5
13. Satisfaction with the overall care received ................................................................	1 2 3 4 5
14. Timeliness with which your physician received the radiology report .........................	1 2 3 4 5
15. Would you recommend others to Columbia-Presbyterian Eastside Radiology? Yes No	1 2 3 4 5

Comments?