Clinican Survey

Physician / Clinician Survey

Please Rate our Services

Clinic Location:

Please check (√) one of the following answers.

1. Clarity of our requisitions Excellent Good Average Below Average Poor NA

2. Results received in a timely fashion Excellent Good Average Below Average Poor NA

3. Satisfaction with quality of report and images Excellent Good Average Below Average Poor NA

4. The patient experience Excellent Good Average Below Average Poor NA

5. Appointment availability Excellent Good Average Below Average Poor NA

6. Your access to a Radiologist by phone Excellent Good Average Below Average Poor NA

7. Does LXA provide adequate attention to the following:

a. Faxes Excellent Good Average Below Average Poor NA

b. Telephone calls Excellent Good Average Below Average Poor NA

c. Emails Excellent Good Average Below Average Poor NA

d. Image requests Excellent Good Average Below Average Poor NA

e. Follow-up consultations Excellent Good Average Below Average Poor NA

f. Special requests Excellent Good Average Below Average Poor NA

8. Overall quality of our services Excellent Good Average Below Average Poor NA

9. Would you recommend LXA's services to other Physicians/Clinicians? Yes No

If you answered no, please explain.

10. How can LXA improve our services for you and your patients? (optional) (4000 chars left)

Would you like us to contact you about any concerns? Yes No

Name:

Phone No.

Click submit when ready but please wait until you see our confirmation page before closing this survey/browser.

Thank you for submitting your feedback.

If you have requested a follow-up we will contact you as soon as possible.

LXA.