Feedback Form

We are interested in knowing your experience at Desert Radiologists. Please take a moment to tell us your impressions about our service.

Getting through to the office by phone...
The length you waited to get an appointment...
How did you feel about the way you were greeted by our medical receptionist...
Was our staff courteous and professional...
How was your length of wait at the office...
How did you feel about the way the physician treated you...
How did you feel about the way the technologist treated you...
How were the procedures explained to you...
If you need imaging services in the future, would you choose Desert Radiologists...
How did you hear of Desert Radiologists... (Select all that apply) Physician Radio TV Print Ad Internet Other
Which location did you visit?
Date of Service mm/dd/yyyy
Name (optional)
Phone (optional) XXX-XXX-XXXX
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