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Orthopaedic Imaging
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Locations
Clarksville
Columbia
Reisterstown
Contact
COVID-19
Search for:
Specialties
Orthopaedic Imaging
Neuro Imaging
Women’s Imaging
Breast MRI
Women’s Pelvic Imaging
Defecography
Urology Imaging
Prostate MRI
PET/CT for Prostate Cancer
Kidney Stones Dual Energy CT
Cardiac
Calcium Score
Coronary CTA
Cardiac MRI
Full Body Imaging
Computed Tomography Angiography (CTA)
MR Enterography
MR Elastography
Defecography
Lung
Low-Dose CAT SCAN
Pulmonary Nodule Clinic
Diagnostic X-Rays
Our Practice
About Us
Our Logo
Our Team
Meet Dr. Uppal
Case Studies
Blog
Advanced Technology
3T MRI
Low-Dose CAT SCAN
PET/CT
Diagnostic X-Rays
DEXA
Patient Resources
Patient Imaging Portal
Referral Form
Request an Appointment
Patient Forms
Billing (Login)
Insurance
Educational Materials
Reviews
Write a Reveiw
Locations
Clarksville
Columbia
Reisterstown
Contact
COVID-19
Search for:
Patient Survey
Daisy Uppal, M.D.
2019-02-12T16:50:57-05:00
Name
First
Last
Phone
Email
Which of our locations did you visit?
*
Clarksville
Columbia
Reisterstown
How easy was it to make your appointment?
*
Very Easy
Somewhat Easy
Neither Easy Nor Difficult
Somewhat Difficult
Very Difficult
Please rate your experience with the staff
*
Very Satisfied
Somewhat Satisfied
Average
Somewhat Dissatisfied
Very Dissatisfied
I did not interact with the staff
Please rate the cleanliness of our center
*
Very Clean
Somewhat Clean
Neither Clean Nor Unclean
Somewhat Unclean
Very Unclean
Did you get to interact with the Radiologist/Doctor?
*
Yes
No
Do you have any comments or suggestions?
On a scale of 1 to 5 with 1 being poor and 5 being wonderful, how would you rate your overall experience at Charter Radiology?
*
5
4
3
2
1
Name
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