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PROVIDER EXPERIENCE SURVEY

We’d love to hear what you thought about us.

Referring Experience

How would you rate your overall experience with our clinic?
Excellent
Good
Fair
Poor

Appointment Access

How satisfied are you with the ease of referring patients to our clinic?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
How would you rate our appointment availability and wait times for your patients?
Excellent
Good
Fair
Poor

Communication & Reporting

How would you rate the clarity and usefulness of our imaging reports?
Excellent
Good
Fair
Poor
Are reports delivered in a timely manner?
Always
Usually
Sometimes
Rarely
How satisfied are you with communication from our clinic regarding patient care or urgent findings?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

Image Quality & Diagnostic Value

How would you rate the overall quality of imaging provided?
Excellent
Good
Fair
Poor
Do our imaging studies meet your clinical needs for diagnosis and patient management?
Always
Usually
Sometimes
Rarely

Digital Access & Workflow

How satisfied are you with access to images and reports?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

Overall Satisfaction

How would you rate the cleanliness of our clinic?
Excellent
Good
Fair
Poor

Areas for Improvement

Additional Comments

Would you like a member of our team to contact you regarding your feedback?
Yes
No

Copyright © 2026 Belle River Diagnostic Imaging. All rights reserved.

1679 Essex County Rd 22 Unit 1, Belle River ON N0R 1A0

Tel: 519-727-3993

​

Fax: 519-727-3939

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