STL Imaging
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Mobile X-ray and Ultrasound Services

Satisfaction Survey: Quality Assurance

Please indicate the level of satisfaction that best reflects your experience with StL Diagnostic Imaging.

1 = poor : 5 = good

CLERICAL SERVICES:
Coutesy and helpfulness of office staff if you have ever called our office for any inquiry
1 2 3 4 5

FILMS & REPORTS:
Accuracy of reports
1 2 3 4 5
Receive faxed reports when requested
1 2 3 4 5
Verbal reports for urgent findings
1 2 3 4 5
Quality of professional readings
1 2 3 4 5

TECHNICAL SERVICES:
Level of professionalism / knowledge of technical staff
1 2 3 4 5
Technologist interaction with your patients
1 2 3 4 5
Feedback from patients about technologists
1 2 3 4 5

OVERALL SERVICES:
Availability of urgent appointents
1 2 3 4 5
Patient wait time / response time
1 2 3 4 5
Communication with management team
1 2 3 4 5

Comments / Suggestions

THANK YOU FOR YOUR PARTICIPATION!

Would you like to discuss this survey with management?
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Name and Title
Site/Facility/Home Name

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AdvantAGE Ontario

 Ontario Association of Radiology Managers - OARM

Ontario Association of Medical Radiation Sciences - OAMRS

College of Medical Radiation Technologists of Ontario - CMRTO

Independent Diagnostic CLinics Association - IDCA