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Physician Survey
Instructions
Your patient referrals have played an integral role in making CJRI a success. We need your advice on how to further improve CJRI. Please complete this short survey. This feedback is essential to continue to enhance the process and the high quality patient care at CJRI.
Needs Improvement
Good
Excellent
1.
How would you rate your overall experience with CJRI?
2.
How would you describe the quality of your patient’s care at CJRI?
3.
Did CJRI address your needs?
4.
Did you receive the information you needed from CJRI?
5.
How would you describe the customer service?
6.
Were your questions or concerns addressed promptly?
7.
Additional Comments
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