Patient Survey

Patient SurveyDaisy Uppal, M.D.2019-02-12T16:50:57-05:00

Name
First Last
Phone
Email
Which of our locations did you visit?*
How easy was it to make your appointment?*
Please rate your experience with the staff*
Please rate the cleanliness of our center*
Did you get to interact with the Radiologist/Doctor?*
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?*
Phone
This field is for validation purposes and should be left unchanged.