Concord Imaging Center - Back to Home Contact Us
Survey   
Information & Prep
Locations, Directions and Hours
Meet our doctors
Q & A
Accepted Insurance
Resource Links
 

Take our Online Survey


Hours of Operation
Concord Hospital Campus
M - F: 8am to 5pm.
MRI extended hours on:
T & TH: 8am - 7:30pm
Sat: 7:30am - 4:15pm
Phone: 603.225.0425

Horseshoe Pond Campus
Phone: 603.415.9444
General Office Hours
M - F: 9:00am - 9:00pm
Sat & Sun: 10am - 6pm
Phone: 603.415.9444


This survey contains questions regarding your experience at Concord Imaging Center. Results are confidential. Information gathered from this survey will be used to improve our services. Please write any comments you may have on the reverse side of the survey.

A. The Service You Received (check all that apply)
1. Please select the Radiology exam you received during this visit
CT Scan MRI Ultrasound Mammography X-Ray
Other:
B. Background Information

1. When did you visit Concord Imaging Center?
Mo. / Yr.

2. How did you hear about us?

Primary Care Physician referral. Who is your doctor?
Friend
Internet
Phone directory
Other:

3. Which facility did you visit?

Concord Imaging Center - Pillsbury Building
Concord Imaging Center - Horseshoe Pond

4. Was this your first visit to this facility?

Yes
No

5. Were you taken to the exam room at or before your scheduled appointment time?

Yes
No – how many minutes past your appointment time did you wait?
N/A – I didn’t have a scheduled appointment (Urgent Care Center)

6. Your age group:

19 years and under
20 – 29 years
30 – 39 years
40 – 49 years
50 – 59 years
60 – 69 years
70 – 79 years
80 years or over

C. Reception/Registration Very
Poor		 Poor Fair Good Very
Good

1. Was it easy to schedule your appointment(s)?

2. Were available appointment times convenient for you?

3. Please rate the courtesy and helpfulness of the registration staff

D. Facility

Very
Poor

Poor

Fair

Good

Very
Good
1. Please rate the comfort of the waiting area

2. Ease of finding Concord Imaging Center

3. Cleanliness of our facility

E. Your test Very
Poor		 Poor Fair Good Very
Good

1. Friendliness/courtesy of the Technologist

2. Friendliness/courtesy of the Physician/Radiologist (if applicable)

3. Explanations about your procedure given by our staff

4. Was our staff concerned for your comfort?

5. Our staff’s response to your questions and/or concerns

F. Personal Issues Very
Poor		 Poor Fair Good Very
Good

1. Our ability to maintain your privacy

2. We were sensitive to your needs

3. Our response to your concerns/complaints made during your visit

G. Overall assessment Very
Poor		 Poor Fair Good Very
Good

1. Our staff kept you informed of any delays

2. Please rate our overall professional appearance

3. Please rate the staff’s professional behavior

4. How well did our staff work together to provide care?

5. Overall rating of your experience at Concord Imaging Center

6. Would you recommend Concord Imaging Center to others?

Please feel free to write any comments you have (positive or negative) about your experience at the CIC:

Name (Optional):

Telephone # (Optional):




ABOUT CONCORD
IMAGING CENTER 		INFORMATION &
PROCEDURE PREPARATION 		MEET OUR
DOCTORS		 LOCATIONS, HOURS
& DIRECTIONS 		QUESTIONS
& ANSWERS 		ACCEPTED
INSURANCE		 RESOURCE
LINKS		 CONTACT
US