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Satisfaction Survey

Thank you for your visit, and if this is your first visit with us, then welcome to the Preferred Imaging and Premier Health Services family! Please take a moment to complete this short survey. Your feedback helps to shape the excellent service we provide. By providing feedback below and including your name and contact information, we will enter you into a drawing for a monthly gift card!

It was a pleasure assisting you with your diagnostic needs. I hope that if you are in need of an imaging exam in the future that you would again consider us here at Preferred Imaging and Premier Health Services .

Sincerely,

Amy Adams, President
Preferred Imaging

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    • Yes
    • No

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    • Y
    • N
    • N/A

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    • No

    • I have visited a Preferred Imaging facility previously
    • My physician and or physician office recommended Preferred Imaging
    • A relative, friend, or coworker recommended Preferred Imaging
    • Preferred Imaging’s cost was lower while maintaining the highest quality
    • Relaxing environment in the scan room
    • Facility’s location (proximity to my office, home, school or other)
    • Convenient hours, including evenings and weekend hours
    • Free transportation offer

    Patient Name:
    Parent Name (if patient a Minor):
    Phone:
    Email:

    • Yes
    • No