Progressive Radiology

Patient Satisfaction Survey

Please take a few minutes to fill out this survey on the timeliness and the quality of the service(s) you received. We welcome your feedback and all your answers will be kept confidential. Thank you for your participation.

Your Visit
1. Your Exam was: *
2. Your Appointment was at which location: *
3. Your Age:
4. Are you a:

Please rate your level of satisfaction for each question below:

5 = Excellent, 4 = Very Good, 3 = Good, 2 = Fair, 1 = Poor, N/A = Does Not Apply

A. Your Visit
1. How would you rate your visit today, overall? 5 4 3 2 1 N/A

B. Our Front Office
1. Was our office staff kind, compassionate and communicative? 5 4 3 2 1 N/A

C. Our Technologists
1. Was our technologist professional and informative regarding your test? 5 4 3 2 1 N/A

D. Your Questions
1. Were any billing questions answered to your satisfaction? 5 4 3 2 1 N/A

E. Our Facility
1. Was the facility clean, warm and inviting? 5 4 3 2 1 N/A

F. Your Overall Satisfaction
1. Would you recommend our center to a friend or family member? 5 4 3 2 1 N/A

G. General
1. How did you hear about us?
2. For any answer less than "5" above, what would it take to make it at "5"? Please add any additional comments you may have:


Security Question

To help reduce the number of automated spam submissions made through this form - we ask that you please type in the displayed text exactly as shown:

Thank you for taking the time to fill out our survey. We rely on our patient's feedback to help us improve our services to you. Your input is greatly appreciated.


Request an Appointment

Schedule an Appointment

click here

Find a Radiologist

Find a Radiologist

View our online directory of Radiologists. click here