Patient Satisfaction Tools

About Your Visit

Date of your scan Type of MRI Referring provider (optional) How you paid for your scan

How easy was it to schedule your MRI appointment?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

How would you rate the wait time from arrival to start of your scan?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

How would you rate the courtesy and professionalism of our front desk staff?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

How clearly did the MRI technologist explain the procedure to you?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

How well did the technologist treat you with respect during your visit?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

How comfortable did you feel during the scan? (positioning, music, claustrophobia management)

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

How safe and informed did you feel throughout your visit?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

How would you rate the cleanliness and comfort of our facility?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

How well was your privacy respected during your visit?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

How clear was the communication about when and how you would receive your results?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

Overall, how would you rate your experience at Kansas City Advanced Imaging?

1 Poor 2 Fair 3 Good 4 Very Good 5 Excellent

On a scale of 0 to 10, how likely are you to recommend KCAI to friends or family?

Not at all likely Extremely likely

Comments or suggestions (optional)