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Neurovative Physicians
Patients
Patient FAQ
Patient Process
Schedule an Appointment
Pay Bill
Patient Survey
Physicians
Current Physicians
Physician Inquiry
Physician Training
Physician FAQ
Referral Forms
Services
Intermittent Live EEG
Continuous Inpatient EEG Services
In-Home Long Term EEG
Daily Live EEG Review
Careers
Contact
Physicians Contact
Patients Contact
Neurovative Physicians
Patient Satisfaction Survey
Thank you in advance for your opinion!
Please Fill Out and Submit
I am...
*
Patient
Caregiver or representative
Technologist ID
Intake / Insurance Verification
I was contacted promptly after my physician placed the testing order
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The intake representative was professional and caring
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
Scheduling / Appointment Making
Scheduling my appointment was easy
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The scheduler explained the study in a way that was clear and easy to understand
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The scheduler was professional and caring
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
Equipment Setup
The setup technologist contacted me prior to the appointment time
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The setup technologist arrived during the scheduled timeframe
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The setup technologist explained the test instructions in a way that was clear and easy to understand
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The log sheets were easy to understand and use
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The setup technologist was professional and caring
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
Equipment Disconnect / Pick Up
The disconnect technologist arrived during the scheduled timeframe
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The study length was appropriate and correct according to my physician’s orders
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The disconnect technologist explained the next steps and when I should expect my test results
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
The disconnect technologist was professional and caring
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
Overall
I had a positive overall experience
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Unknown or Does Not Apply
I would like to be contacted by a patient care representative regarding the testing.
Yes
Name
*
First
Last
Phone
Comments
This field is for validation purposes and should be left unchanged.