Patient Survey

Our Patient Survey

1. How did you hear about West Houston Radiology?
   Physician Referral
   Family/Friend Referral
   Internet Search
   Other
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2. (If other, please elaborate below)
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3. How easy was it to locate information on our website?
   Very Easy
   Easy
   Somewhat difficult
   Difficult
   Could not find the information I was looking for
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4. What information did you find most helpful on our website?
   Information about our physicians
   Information about our procedures and services
   Information about our billing and insurance
   Other
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5. (If other, please specify below)
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6. How would you rate your overall experience with West Houston Radiology?
   Excellent
   Good
   Satisfactory
   Needs Improvement
   Poor
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7. Would you recommend West Houston Radiology to a friend or family Member?
   YesNoInvalid Input
8. Submit