Exit this survey Referring Physician Satisfaction Survey Question Title * 1. Physician Name Question Title * 2. Please tell us about your practice: What is your specialty? How many doctors are in your practice? What city are you in? Select One: Allergy & Immunology Breast Surgery Cardiology Chiropractic Colorectal Surgery Dermatology Podiatry Emergency Medicine Endocrinology Family Medicine Gastroenterology General Surgery Gynecology Hand Surgery Infectious Disease Internal Medicine Nephrology Neurology Neurosurgery Obstetrics Obstetrics & Gynecology Oncology Otolaryngology Ophthalmology Orthopedic Surgery Pediatrics Pain Medicine Plastic Surgery Pulmonology Rheumatology Radiation Oncology Sports Medicine Thoracic Surgery Urology Vascular Surgery Other (Please specify below) Select One: What is your specialty? menu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25+ Select One: How many doctors are in your practice? menu Aldedo Allen Alvarado Argyle Arlingotn Azle Bedford Benbrook Boyd Bridgeport Burleson Carrollton Cedar Hill Cleburne Colleyville Coppell Crowley Dallas Decatur Denton Desoto Dublin Duncanville Eastland Euless Flower Mound Fort Worth Frisco Ganbury Gapevine Garland Glen Rose Gordon Granbury Grand Prairie Grandbury Grandprairie Grandview Grapevine Haltom City Hillsboro Hurst Irving Joshua Justin Keene Keller Lake Worth Lewisville Mansfield McKinney Mesquite Midlothian Mineral Wells N Richland Hills Plano Ranger Rhome Richardson Richland Hills Roanoke Saginaw Santo Southlake Springtown Stephenville The Colony Trophy Club Watauga Waxahachie Weahterford Whitney Willow Park Other Select One: What city are you in? menu Practice Name Question Title * 3. How would you rate your overall experience with Radiology Associates? Poor Below Average Average Above Average Excellent Question Title * 4. In comparison with other radiology practices, how would you compare the following services? Poor Below Average Average Above Average Excellent Report Quality Report Quality Poor Report Quality Below Average Report Quality Average Report Quality Above Average Report Quality Excellent Report Turnaround Time Report Turnaround Time Poor Report Turnaround Time Below Average Report Turnaround Time Average Report Turnaround Time Above Average Report Turnaround Time Excellent Radiologist Availability Radiologist Availability Poor Radiologist Availability Below Average Radiologist Availability Average Radiologist Availability Above Average Radiologist Availability Excellent Subspecialty Reads Subspecialty Reads Poor Subspecialty Reads Below Average Subspecialty Reads Average Subspecialty Reads Above Average Subspecialty Reads Excellent Billing Billing Poor Billing Below Average Billing Average Billing Above Average Billing Excellent Question Title * 5. How would you like to see these services improve? Report Quality Report Turnaround Time Radiologist Availability Subspecialty Reads Billing Other: Question Title * 6. What percentage of your referrals go to a Radiology Associates covered facility? 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Question Title * 7. What non Radiology Associates covered facilities do you send to? Why do you refer to these facilities? Question Title * 8. Do you have all of the resources you need to refer patients to a Radiology Associates covered facility? Yes No If not, what resources do you need? Question Title * 9. Do any of our physicians provide above average service to your practice? Yes No If yes, who are these radiologists? Question Title * 10. Would you like to be contacted by one of the radiologists? Yes No If yes, please provide your preferred method of communication. Question Title * 11. Any additional comments or questions? Done
