Shady Grove
Patient Satisfaction Survey
Our goal is to be the area's Ultimate Imaging Center. But we need your feedback. Please take a few minutes to fill out this survey. The information is extremely valuable to us.
Location:
*
Edmonston Crossing-101 W. Edmonston Dr.
Germantown-19731 Germantown Rd.
Medical Plaza II-9715 Medical Center Dr. Suite 101
Medical Plaza II-9715 Medical Center Dr. Suite 310
Montgomery Village-19241 Mont. Village Ave.
Shady Grove Medical-9850 Key West Ave
Procedure(s) -Check all the apply.
*
Bone Density
Breast Biopsy
CT Scan
Diagnostic X-Ray
Mammography
MRI
Nuclear Medicine
Ultrasound
Please tell us how your heard about Shady Grove Radiology:
Existing Patient
Physician or their staff
Friend or family member
Internet
Health club
Movie theater
Newspaper
Your Health magazine
Other
Please indicate the amount of time between the request for your appointment and the actual appointment date.
Within one day
Within 2-5 days
More than 5 days
If you scheduled an appointment, was staff
Courteous-Professional
Knowledgable of procedures and insurances
None of the above
Please rate your satisfaction regarding the amount of time you waited in the waiting room, assuming that you arrived at your scheduled appointment time.
Less time than expected
Expected amount of time
Longer than expected
Please tell us how long you waited in the waiting room before being called back for your exam.
Maximum Allowed:
30
characters.
Currently Used:
0
characters.
Tell us about your experience with our:
Reception Staff
Outstanding
Good
Fair
Poor
Technical staff (Person performing your exam)
Outstanding
Good
Fair
Poor
Check-out staff
Outstanding
Good
Fair
Poor
Please rate the cleanliness of our facility.
Outstanding
Good
Fair
Poor
How could we improve your experience?
Maximum Allowed:
500
characters.
Currently Used:
0
characters.
Have you had imaging tests performed at diagnostic centers other than Shady Grove Radiology?
Yes
No
If yes, facility names:
Maximum Allowed:
100
characters.
Currently Used:
0
characters.
How did that experience compare to your experience with Shady Grove Radiology?
Maximum Allowed:
500
characters.
Currently Used:
0
characters.
If you have received your bill, was it accurate, timely and easy to understand?
Yes
No
NA
If you contacted a billing representive, were they responsive to patient billing issues and to your billing needs?
Yes
No
NA
Was our billing staff courteous?
Yes
No
NA
Would like us to contact you?
Yes
No
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