Patient Survey

The staff at MRI of Woodbridge is deeply committed to making our patients feel comfortable and confident in the imaging services that we provide. This survey has only one objective: To help us provide you, our patient, with the highest quality imaging services available. All answers will remain confidential.

Were you referred here by someone other than your doctor?	Yes	No
If yes, by whom?	Insurance Company Telephone Book Friends Other

	1 Poor	2	3	4	5 Excellent
Did you find the staff to be friendly and courteous?
Was your appointment scheduled at a time that was convenient for you?
Did you find our receptionist to be helpful in answering your questions?
Was the facility easy to find?
Did the technologist explain the procedure to you and help you feel at ease?
Was the facility neat and clean?
Did your test begin within a reasonable time after you arrived for your appointment?
Was the staff professional in their dress and in their actions?
What is your overall rating of this center?

Would you recommend us to your friends?	Yes	No
Have you ever had a procedure at another radiology office?	Yes	No
If yes, how would you compare your visit here to previous experiences?	Better	Worse	No Difference

What can MRI of Woodbridge do to improve our services to better meet your needs?

If you have any other comments, please list them here.

Was there any one particular person who was especially helpful to you? If so, please give his/her name:

Would you like us to contact you?

Yes

Your Name (optional):
Your Email or Phone Number (optional):

Thank you!

The Staff at MRI of Woodbridge

Radiologists Dr. David Chun, M.D., Dr. Peter Doss , M.D., Dr. Leo Fontana, M.D., Dr. Edward Rittweger, M.D.,
Dr. Charles Saniewski, M.D., Dr. Mark Singer, M.D., and Dr. David G. Wirtshafter, M.D.,
serving Avenel, Woodbridge, Colonia, Carteret, Fords, Perth Amboy, Iselin, Sewaren, Edison, Metuchen, Keasbey, Clark,
Port Reading, Rahway, Menlo Park, Linden, Piscataway, South Plainfield, Westfield, Cranford and the surrounding area.

Doctors Radiology Center and MRI of Woodbridge | 1500 St. Georges Avenue | Avenel, NJ 07001 | Tel: 866-372-1965

www.drcmri.com