email@ardsleyrad.com

933 Saw Mill River Road · Ardsley, NY 10502 · (914) 693-4900 · FAX (914) 674-0772
In order to better serve you, Ardsley Radiology requests your assistance in completing this Patient Satisfaction survey. We sincerely appreciate your response.
  1.   What type of exam(s) did you have?
    Open MRI
    CAT Scan
    Cardiac Scoring
    Lung Scanning
    Whole Body CT
    Mammography
    DEXA Bone Density
    Ultrasound
    PET Scanning
    X-Ray
    I.V.P.
    Fluoroscopy
    Other (specify:)   
  2.   Who is the doctor that ordered the exam(s)?
  3.   Why did you decide to come to Ardsley Radiology for your exam(s)? Please check all that apply.
    My doctor who ordered these exams recommended Ardsley Radiology.
    My doctor's office gave me a choice of radiology practices and I chose Ardsley Radiology.
    Another doctor recommended me to Ardsley in the past.   
    Ardsley Radiology is the only provider of radiology services my insurance plan accepts.
    Ardsley Radiology has an office close to my:   Home   Work
    I have been here before.
    A friend or relative recommended Ardsley Radiology.
    Yellow pages listing/advertising.
    I knew of Ardsley Radiology's reputation.
    Radio commerical.
    Television commerical.
    Other (specify:)   
  4.   In which Ardsley Radiology office did you receive your exam(s)?
    Ardsley Office
    Yonkers Office
  5.   Short Survey
      Very
    Satisfied
      Neutral   Very
    Dissatisfied
    Scheduling an appointment
    Time between scheduling appointment
    and actual appointment date
    The office was easily
    accessible and
    convenient
    Length of time waiting in the
    reception area
    Length of time waiting in
    dressing room
    Length of time waiting
    in exam room
    Treatment by reception
    staff
    Treatment by technologist(s)
    Questions answered adequately
    The overall care you
    received at office

  6.  Would you have preferred an evening or Saturday appointment?   Yes   No

  7.  Would you recommend Ardsley Radiology to others?   Yes   No

  8.  Comments / suggestions for Ardsley Radiology:

      

  9.  (Optional) Please give your name, address and phone number:

      


    --For the Open MRI Procedure only--

  10.   How did you hear about our Open MRI?
    Doctor
    Newspaper
    Friend
    T.V.
    Sign
    Telephone book ad
    Radio
  11.   Did you make your choice based on: (check all that apply)
    Claustrophobia
    Body Size
    Convenience
    Location
    Insurance
    Other: (specify)   
  12.   Did you take any medication to help you tolerate the MRI exam?
    Yes   No
  13.   Was the procedure:
    Better than you expected   About as you expected   Worse than you expected

      

  14.   How can we improve this experience?

      


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933 Saw Mill River Road
Ardsley, NY 10502
(914) 693-4900
FAX (914) 674-0772