Patient Satisfaction Survey We appreciate you taking the time to fill this out Overall, how satisfied or dissatisfied are you with Norwalk Radiology & Mammography Center?   1 - Completely dissatisfied 2 3 4 5 - Completely satisfied If asked by a colleague or friend, would you recommend Norwalk Radiology & Mammography Center for imaging services?   1 - Definitely would not recommend 2 3 4 5 - Definitely would recommend Ratings of Service Please rate how satisfied or dissatisfied you are with each of the following aspects of our services: Scheduling Appointments 1 - Totally dissatisfied   2   3   4   5 - Totally satisfied Reception Area         Scheduled Appointment         Explanation of Procedure         Do you have any additional comments? Now we would like you to rate how important or unimportant these aspects of our services are to you. Scheduling Appointments 1 - Not at all important   2   3   4   5 - Extremely important Reception Area         Scheduled Appointment         Explanation of Procedure         Do you have any other comments on what is important to you ? Opinions of Staff Please rate how satisfied or dissatisfied you are with each of the following aspects of staff performance. Receptionists 1 - Totally dissatisfied   2   3   4   5 - Totally satisfied Technicians         Physicians         Appointment Scheduler         Do you have any additional comments on the performance of our staff? Now we would like you to rate how important or unimportant each of these factors is to you. Receptionists 1 - Not at all important   2   3   4   5 - Extremely important Technicians         Physicians         Appointment Scheduler         Do you have any other comments on what is important to you about our service(s)? Do you have any other comments, complaints, concerns you care to offer us? Patient Demographics Your profession:   Finance   IT Healthcare   Government Consultant   Charity Research Agency   Education Manufacturing   Other Media   If Other, please specify. Thank you for taking the time to provide us with your comments. We will use them to improve our service.