Stand-Up MRI of the Bronx, P.C.

Physician Survey

Contact information

Name

Address

City

Zip

Phone

Please tell us about your experience

Which location do you refer your patients to?

Physician/Medical Group name:

Which representative from our location is your primary contact?

Do you refer to any of our other locations?

How did you hear about our locations?

How likely are you to recommend us to a colleague or friend?

Would you like to learn about our online referral system to improve your workflow?

Yes No

Would you like to view Images and reports online?

Yes No

Would you like to learn more about Health Diagnostics Management Services?

Yes No

	Excellent	Above Average	Satisfactory	Below Average	Poor
When calling our location, you are greeted in a friendly & professional manner
Our staff is courteous and responsive to your needs
Exams are scheduled in a timely manner
Our technologists and staff are professional and courteous to your patients
Image quality meets your expectations
Final report quality meets your expectations
Final reports are received within 24-48 hours
You are receiving adequate insurance authorization support from our staff
Our services were well explained by a representative
Our interpreting physician(s) communicate frequently with physicians at your practice

How may we improve our service to your practice?
Thank you for your cooperation. If we would like to follow up with, may we contact you? Yes No

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