Physician Name

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* 1. Physician Name

How would you rate your overall experience with Radiology Associates?

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* 3. How would you rate your overall experience with Radiology Associates?

In comparison with other radiology practices, how would you compare the following services?

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* 4. In comparison with other radiology practices, how would you compare the following services?

  Poor Below Average Average Above Average Excellent
Report Quality
Report Turnaround Time
Radiologist Availability
Subspecialty Reads
Billing
How would you like to see these services improve?

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* 5. How would you like to see these services improve?

What percentage of your referrals go to a Radiology Associates covered facility?

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* 6. What percentage of your referrals go to a Radiology Associates covered facility?

What non Radiology Associates covered facilities do you send to? Why do you refer to these facilities?

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* 7. What non Radiology Associates covered facilities do you send to? Why do you refer to these facilities?

Do you have all of the resources you need to refer patients to a Radiology Associates covered facility?

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* 8. Do you have all of the resources you need to refer patients to a Radiology Associates covered facility?

Do any of our physicians provide above average service to your practice?

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* 9. Do any of our physicians provide above average service to your practice?

Would you like to be contacted by one of the radiologists?

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* 10. Would you like to be contacted by one of the radiologists?

Any additional comments or questions?

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* 11. Any additional comments or questions?

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