Skip to content
×
Search for:
Physician Resources
Patient Services
About
Meet Our Staff
News
The Vein Center
Share Your Story
Hospital Partners
Teaching & Research
Cutting-Edge Technology
Accreditations
Careers
Specialties
Women’s Services
Interventional Radiology
Neuroradiology
Oncology
Sports Medicine
Pediatric
Cardiovascular
Services
MRI
CT Scan
Ultrasound
Mammography
X-Ray
Lung Cancer Screening
Nuclear Medicine
Interventional Procedures
Bone Density
Services A-Z
Your Visit
Care During COVID-19
COVID-19 FAQ
Hours & Locations
Digital Waiting Room
How To Make An Appointment
Interpreter Services
Insurance & Billing
Getting Ready for Your Visit
Send Us Feedback
Appointments
Search
Patient Survey
Your feedback about our website is important to us. Your responses are anonymous. Please do not communicate any urgent health-related concerns here. Thank you for taking the survey.
What is your relationship to Jefferson Radiology?
Referring Physician/Provider
Referring Provider Office Staff
Existing Patient
Potential Patient looking for an imaging facility to have my exam or procedure
Other (please specify in the comment section below)
Did you research us on the internet before coming to your first appointment?
Yes
No
How did you learn about us?
Physician Referral
Friend/Relative
Internet Search
Other (please specify in the comment section below)
How did you learn about our website?
Advertisement of Brochure
Internet Search
Someone outside the organization (friend, family member, or referring physician) suggested it
Other (please specify in the comment section below)
How easy was it to locate information on our website?
Very Easy
Easy
Somewhat Difficult
Information hard to find
Could not find the information I was looking for
How can we improve our website/other comments or suggestions?
What type of information did you find most valuable on our website?
Locations & Directions
Information about our physicians
Exams and treatments information
Other (please specify in the comment section below)
Name
*
First
Last
If you would like us to contact you, please provide your name and contact information below:
*
Yes
No
Phone
*
Email
*
Our Partners
