Patient Survey

We want your experience at Premier Radiology to be as convenient and pleasant as possible. We would appreciate your input on your recent visit. Please take a moment to answer the following questions. Thank you.

1. Overall Satisfaction:
Excellent      Satified      Dissatisfied  
2. Were you seen by a technician within a reasonable amount of time?
Yes     No 
If you answered No, how long did you wait beyond your scheduled appointment time?
3. Were all the treatments, procedures, and services you received in our facility explained to you in a manner you could understand?
Yes     No 
4. Were any necessary discharge or after-care instructions explained to your satisfaction?
Yes     No 
 
5. How would you rate the care and services provided?
Front Desk Staff: Excellent Satified Dissatisfied
Technician: Excellent Satified Dissatisfied
Radiologist: Excellent Satified Dissatisfied
6. Would you use our facilities again?
Yes     No 
7. What could we do to improve your next visit with Premier Radiology?
8. Who was your referring physician (Optional)?
9. What test/procedure did you have performed (Optional)?
Email: 

THANKS FOR YOUR TIME!

   


 

28 White Bridge Road
Suite 111
Nashville, Tennessee
37205

Phone (615) 356-3999
Fax (615) 353-0462