top of page

Customer Satisfaction Survey

Please fill out the form to be entered in a monthly drawing

for a $25 Visa gift card.

Please select which imaging center you visited.
Community Radiology of Virginia
Monroeville Imaging Center
Open MRI of Augusta
Open MRI of Daytona
Open MRI of Rockledge
Premiere Imaging Center
Who influenced your decision to come to our facility?
Spouse
Parent
Friend
Other
Were you pleasantly greeted?
Yes
No
Were you seen on time for your appointment?
Yes
No
How would you rate your experience?
Excellent
Good
Fair
Poor
Please rate how thoroughly the technologist explained your exam process.
Excellent
Good
Fair
Poor
Would you refer a friend or family member to our facility?
Definitely
Very Likely
Likely
Not Srue
No
bottom of page