CNY Diagnostic Imaging Associates | Syracuse | East Syracuse | Liverpool New York

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Patient Satisfaction Survey

Our goal is to provide high quality, compassionate and convenient radiology services. We are striving to improve the service we offer and welcome your feedback and suggestions. Please take a few minutes to complete this survey about your most recent visit. If you prefer, you may download a paper copy of the form to return by mail or call us with your comments at 315-269-9729. All comments will remain confidential.

Your Visit

1.	Which office location did you visit? *
2.	What type of Study or Procedure did you receive? * Please check all that apply. X-ray Mammogram CT MRI Ultrasound Nuclear Study or Gammagram Bone Density
3.	Was this your first appointment with CNY Diagnostic Imaging?	yes	no
4.	Why did you decide to come to CNY Diagnostic Imaging (CNY) for your exam(s)? Please check all that apply. My doctor recommended CNY My doctor's office gave me a choice of radiology practices and I chose CNY CNY has an office close to my home, work or doctor's office I have been here before A friend or relative recommended CNY Found CNY on an online site Please specify: I knew of CNY's reputation FDA certification or ACR accreditation Other please specify: CNY Diagnostic Imaging Facebook Page

Please rate the following statements.

1
Strongly Disagree

2
Disagree

3
Uncertain or Neutral

4
Agree

5
Strongly Agree

5.	My appointment date and time was reasonable and convenient to me.	1	2	3	4	5
6.	The registration and waiting areas were welcoming, clean and comfortable.	1	2	3	4	5
7.	All of my questions were answered to my satisfaction.	1	2	3	4	5
8.	The staff in the following areas were courteous, respectful, friendly, and compassionate.
	Phone/Appointment Scheduling	1	2	3	4	5
	Registration	1	2	3	4	5
	Technologist	1	2	3	4	5
	Radiologist	1	2	3	4	5
	Office and Billing	1	2	3	4	5
9.	The professional or technical skill of the staff in the following areas was thorough, careful and competent:
	Phone/Appointment Scheduling	1	2	3	4	5
	Registration	1	2	3	4	5
	Technologist	1	2	3	4	5
	Radiologist	1	2	3	4	5
	Office and Billing	1	2	3	4	5
10.	I was satisfied with:
	The total length of time it took for my appointment.	1	2	3	4	5
	The time I waited before being brought to a dressing area.	1	2	3	4	5
	The time I waited before having my services.	1	2	3	4	5
	The time I waited after having my services.	1	2	3	4	5
	The explanations of exam procedures, results and/or treatments that I received.	1	2	3	4	5

After Visit

11.	Did we handle your payment properly?	yes	no
12.	Are our billing statements easy to understand?	yes	no
13.	Have you tried paying your bill online?	yes	no

Overall

14.	Would you recommend CNY Diagnostic Imaging Associates to a friend or relative?	yes	no
15.	Have you visited our website prior to your appointment?	yes	no
16.	Have you visited our Facebook page? click HERE to view page	yes	no