Patient Satisfaction Survey

Cardiac Diagnostic Center, ("CDC"), is a division of Cardiology Consultants, PA, and would like to know about your experience in our testing centers.  Please take time to fill out this anonymous questionnaire that does require an answer to every question except #8. The only types of information we'll collect when you submit this survey form are your answers to the questions and the date/time when you click the Submit button at the bottom of the form.            Thank you for your participation in our survey.

Check one answer for each question ...

(0) CDC facility where you were tested: 

Silverside Road
Pike Creek
Middletown
Dover
Milford
Lewes
Millville


(1) Would you refer a friend to Cardiology Consultants?

Definitely Would Not Refer

Probably Would Not Refer

Might or Might Not Refer

Probably Would Refer

Definitely Would Refer

Not Applicable


(2) Rate the care and concern of CDC staff members in the test procedure room

Highly Dissatisfied  

Somewhat Dissatisfied

Neither Satisfied nor Dissatisfied

Somewhat Satisfied

Highly Satisfied

Not Applicable


(3) Rate the care and concern of CDC staff members during telephone contact

Highly Dissatisfied  

Somewhat Dissatisfied

Neither Satisfied nor Dissatisfied

Somewhat Satisfied

Highly Satisfied

Not Applicable


(4) Were you made to feel comfortable during your visit to CDC

Highly Dissatisfied  

Somewhat Dissatisfied

Neither Satisfied nor Dissatisfied

Somewhat Satisfied

Highly Satisfied

Not Applicable


(5) Rate the overall appearance and cleanliness of the CDC facility you were seen in

Highly Dissatisfied  

Somewhat Dissatisfied

Neither Satisfied nor Dissatisfied

Somewhat Satisfied

Highly Satisfied

Not Applicable


(6) Rate your overall satisfaction level at CDC

Highly Dissatisfied  

Somewhat Dissatisfied

Neither Satisfied nor Dissatisfied

Somewhat Satisfied

Highly Satisfied

Not Applicable


(7) Would you return to CDC for further testing

Highly Dissatisfied  

Somewhat Dissatisfied

Neither Satisfied nor Dissatisfied

Somewhat Satisfied

Highly Satisfied

Not Applicable


(8)  Name of doctor who referred you to CDC for testing

    


You've completed our survey! Please click the submit button.

 

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