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630 NW Englewood Road, Kansas City, MO 64118
Privacy Policies
Imaging for Women is a Women’s Imaging Center dedicated to providing high-quality exams and service to its patients and referring physicians. Please take a few minutes to rate our services and the staff that provided them to you.
Confidential Satisfaction Survey
Date
Referring Physician:
Practice:
Our timeliness in setting up your appointment:
Cleanliness & professional appearance of our facility:
Time you were examined vs. your appointment time:
Overall courtesy and attention of our staff:
Front Desk
Comments about the Front Desk:
Mammographers
Mammography Rating
Comments on Mammographers:
Patient Coordinator
Patient Coordinator Rating
Comments on Patient Coordinator:
Ultra Sound Techs
Ultra Sound Rating
Comments on Ultra Sound Technicians:
Bone Density Techs
Bone Density Rating
Comments on Bone Density Technicians:
Plain Film Techs
Film Tech Rating
Comments onf Plain Film Technicians:
Person giving your results
Results Rating
Comments on results giver:
My understanding and promptness of test results:
My Paperwork & Insurance was handled quickly & professionally
My overall experience at Imaging 4 Women:
May we share this information with your physician?
Did our hours meet your needs?
If not, what hours do you prefer?
Physician
Physician Rating
Comments for your physician:
How can we improve your next visit?
Additional Comments:
Please rate the Individual Courtesy and Attention given by our staff.
Front Desk Rating
Confidential Satisfaction Survey (pdf)