Feedback

Name
Email
Phone Number
Date of Exam
Type of Exam

Scheduling
The quality of service I received in scheduling my appointments was:
Excellent
 Good
 Average
 Poor
Front Desk
The quality of service I received from the front desk was:
Excellent
 Good
 Average
 Poor
Technologist
The quality of service I received from technologist performing my exam was:
Excellent
 Good
 Average
 Poor
Timeliness
The timeliness with which I was examined was:
Excellent
 Good
 Average
 Poor
Facilities
The cleanliness and comfort of the facilities was:
Excellent
 Good
 Average
 Poor
Overall Experience
My overall experience with Diagnostic Imaging of Salem was:
Excellent
 Good
 Average
 Poor
We would be glad to hear any specific comments:

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