Our Physicians

Where to
Find us

We are proud to offer state-of-the-art diagnostic imaging services in Pasadena and Glendora, California, and surrounding counties.

The Hill Medical Corporation Patient Survey Form

We would like to know how we are doing when it comes to meeting your needs. Please complete the following questionnaire and click the submit button. Your responses will be kept confidential.

Yes

No

Date of visit?


Diagnostic Imaging Centers:

Hill Imaging Center, Inc.


Huntington-Hill Imaging
Center, Inc.

Breast Centers:

Hill Imaging Center, Inc.


Huntington-Hill Breast
Center, Inc.

By referral of Doctor; please specify

Previous good experience at The Hill Medical Corporation

Previous bad experience elsewhere

Recommended by friend / relative / co-worker

Insurance requirements

Advertising; please specify

Other; please specify

Yes

No

If so, were they friendly & accommodating?

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

If No, how long did you have to wait?

Were you informed as to why you experienced a wait?

Yes

No

Yes

No

If No, how long did you have to wait?


a. friendly and courteous?

Yes

No

b. professional in appearance and conduct?

Yes

No

c. careful to explain what he/she was doing?

Yes

No


If Yes, was he/she…


a. friendly and courteous?

Yes

No

b. professional in appearance and conduct?

Yes

No

c. careful to explain what he/she was doing?

Yes

No

Yes

No

Yes

No

Excellent

Good

Average

Fair

Poor


Name:


Phone:

Yes

No


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