Physicians

 

Referring Physician Survey

Thanks for helping us focus specifically on your needs. We'd like to know more about your experience with GRC, and we need your help. This survey takes less than two minutes and leaving your name and contact information is entirely up to you. When you click the final "submit" button at the end, you will be returned to the page you just left. Thanks again for your help.
* required field

Full Name: Phone #: (optional)

1. How long have you referred patients to this facility?*

years or months

Please answer the following questions based on your contact with the facility in the past 6 months.

2. Approximately how many patients have you referred to this facility?*

(number of patients referred)

3. Is the telephone answered promptly?*

General inquiries Yes No
Central booking line Yes No

4. Do our receptionists have a pleasant and accomodating phone manner?*

Yes No

5. What are the reasons you refer patients to this facility? (Please select any/all that apply)

Only facility of its type in this community
Our group has a service contract with GRC
Facility location; proximity to practice
Facility location; proximity to patients' homes
Has specialized equipment needed for required tests
Quick turn-around times
Is able to quickly see patients when feedback is urgently required
Quality of services provided
Has convenient hours of operation
Other (Please describe)


6. Overall, on a scale of 1-5, how satisfied are you with how long it generally takes?*

(1=very disatisfied; 3=neutral; 5=very satisfied)

- to get an appointment for a patient at GRC
1 2 3 4 5

Once your patient is seen...

- to obtain written results (a written consultation) from this facility
1 2 3 4 5

- to get an verbal report from this facility when it is required because of an urgent or emergency situation
1 2 3 4 5

7. Please rate each item by selecting any/all that describes your experience with the IHF based on your contact with this facility.

(1=never; 3=sometimes; 5=usually)

- the waiting period for a test to be done is long
1 2 3 4 5

- the interpreting physician is available for consultation
1 2 3 4 5

- the recommendations received are useful in patient management
1 2 3 4 5

- the recommendations are clearly stated
1 2 3 4 5

- the reports received are sent out in a timely fashion
1 2 3 4 5

- the consulting physician orders tests in addition to those requested
1 2 3 4 5

- when tests are added, the resulting recommendations add information important to patient care
1 2 3 4 5

- the interpreting physician's findings are generally consistent with your clinical findings
1 2 3 4 5

8. Have you been dissatisfied with a consult you received from this facility?*

Yes No

If yes, please explain

9. Overall, how satisfied are you with the contacts you have had with this facility? (1=very dissatisfied; 3=neutral; 5=very satisfied)*

1 2 3 4 5

10. Do you have any suggestions that would improve our services?

 

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