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Patient Satisfaction

We consider it a privilege to be involved in your health and well being. We value the opportunity to serve you and your physician and appreciate any feedback you may have. If you have had an exam at our center, will you help us to better serve you by taking a moment to complete this survey? Please check your choices and fax the completed form to 562-733-5880.

 

Excellent

Good

Fair

Poor

Telephone contact with our center

 

 

 

 

Facility comfort, ease of use, cleanliness

 

 

 

 

Staff courtesy to you and those with you

 

 

 

 

Staff concern for your privacy

 

 

 

 

Answers to your billing & insurance questions

 

 

 

 

Explanation of your exam procedure

 

 

 

 

Timeliness of your appointment

 

 

 

 

Professionalism of staff

 

 

 

 

Overall care received

 

 

 

 

 

Yes

No

Would you refer someone else to our center?

 

 

Did your doctor offer you more than one imaging center to choose from?

 

 

How did you choose our center?

What did you like about your experience with us?

How or what could we improve?

Comments:

Name & phone (optional):

Thank you for taking time to educate us about your experience with Liberty Pacific Medical Imaging
Long Beach.

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