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Surveys
2017
March
P
PACS Survey
PACS Survey
0%
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Contact Information
Facility Name
:
Name
:
Phone
:
Overall, how satisfied are you with the following:
Excellent
Good
Fair
Poor
PACS Physician(s)
PACS NP/PA
PACS Admin
How would you rate the Medical Director
Excellent
Good
Fair
Poor
Attends and participates in the Q/A meetings
Participates in development & presentation of education programs for staff & patients
Helpful with implementing resident care policies
Act as liaison between facility and PACS providers
Comments/Suggestions:
How would you rate PACS Physician(s)
Excellent
Good
Fair
Poor
Professionalism
Listens and responds appropriately
Friendly and helpful to you
Answers your questions
Responds timely when On-Call
Arrives on time according to calendar
Has supplies needed for the day
Comments/Suggestions:
How would you rate PACS Mid-Levels (NP, PA)
Excellent
Good
Fair
Poor
Professionalism
Listens and responds appropriately
Friendly and helpful to you
Answers your questions
Responds timely when On-Call
Arrives on time according to calendar
Has supplies needed for the day
Comments/Suggestions:
How would you rate PACS Admin Team
Excellent
Good
Fair
Poor
Professionalism
Listens and responds appropriately
Friendly and helpful to you
Answers your questions
Responds timely to calls or emails
Comments/Suggestions:
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