We are committed to ensuring that you are satisfied with Santa Fe Imaging’s customer service and patient care. Please let us know what you think about your experience with us.

Appointment Information

1. Provider Name:*

2. Date:*

Please check the appropriate answer for each of the following questions:

3. Are the phones answered in a timely manner?

 N/A Always Most of the time Neutral/ No opinion Needs Improvement Never

4. Is it easy to schedule your patients with our facility?

 N/A Always Most of the time Neutral/ No opinion Needs Improvement Never

4. Is it easy to schedule your patients with our facility?

 N/A Always Most of the time Neutral/ No opinion Needs Improvement Never

5. Are you able to schedule STAT appointments?

 N/A Always Most of the time Neutral/ No opinion Needs Improvement Never

6. Is our office staff courteous and helpful to your office?

 N/A Always Most of the time Neutral/ No opinion Needs Improvement Never

7. Do you feel that your patients are treated with respect and consideration by our staff?

 N/A Always Most of the time Neutral/ No opinion Needs Improvement Never

8. Are you receiving your reports in a timely and convenient manner?

 N/A Always Most of the time Neutral/ No opinion Needs Improvement Never

9. Are our patients' preparation instructions easy to understand?

 Yes No Don't know/ No opinion

10. Have you received an order guide? Is it helpful?

 Yes, I use it regularly Yes, but I don't need/use it I don't know No, I have not received a guide

11. Approximately what percentage of your patients do you send to our centers?

 N/A More than 75% More than 50% About Half Less than 50% Less than 25%

Please type your answers to the following questions in the box provided:

12. What do you like or dislike about our facility?

13. What can we do to make your job easier?

14. What other imaging services would you like to see offered?

15. What advice would you give us to improve our services?

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