AMI Survey

Please rate your satisfaction with the service provided by Advanced Medical Imaging:

1: Never  2: Rarely  3: Sometimes  4: Usually  5: Always

Check in, registration and wait time was acceptable to me
 
 
 
 
 
The staff was friendly and professional
 
 
 
 
 
I would ask my doctor to use Advanced Medical Imaging again
 
 
 
 
 
How did you choose Advanced Medical Imaging?
 
 
 
Did you have any questions or concerns that were not answered satisfactorily?
 
 
What do you like best about us?
Where do we need to improve?
Date of scan
Name (optional)
Name
Referring physician
May we use your comments for training and/or marketing purposes?
 
 
Would you like to discuss the service you received at Advanced Medical Imaging?