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CIA Satisfaction Survey

This questionnaire is designed to assess the quality of Colorado Imaging Associates radiology and teleradiology services. We would appreciate your comments, both positive and negative, which will help us in our continuing efforts to assure the highest quality of diagnostic interpretation.

*** Please complete all questions before submitting ***

Quality/Accuracy of Reports*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Days/Hours of Radiologist Coverage*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Availability for Consultation*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Cooperation with Medical Staff*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Interaction with Patients*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
IR Staffing*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
IR Patient Wait Time*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Response to Your Complaints (if no complaints, mark N/A)*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Frequency of Patient Complaints*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Frequency of Patient Complaints*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Billing Explanations*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Quality and response of CIA IT personnel to resolve IT problems*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Quality and response of CIA clerical staff to transfer calls or resolve questions*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Quality and response of CIA top administrative staff to follow up and resolve issues.*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Does CIA contact you or make appropriate visits to insure your organization with quality customer services?*
- 1 - Poor
- 2
- 3
- 4
- 5 - Excellent
- N/A
Comments
Office/Location*
Name (optional)
hCaptcha*
Email
This field is for validation purposes and should be left unchanged.

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7375 W. 52nd Ave, Ste 210
Arvada, CO 80002

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