DMS systems are an essential tool for optimizing radiation protection of patients. They help to evaluate dosimetric parameters of different modalities, monitor compliance with diagnostic reference levels (DRL) and detect unintentional overexposures [1, 2, 3, 4]. In addition, they help fulfil the requirements of Directive 2013/59/EURATOM regarding the electronic transmission of dosimetric data and the detection of unintended patient exposures. Through an EuroSafe questionnaire sent to a random selection of five ESR members per country (244) as well as to all Imaging Stars (IS) facilities (128), EuroSafe aimed to gain an overview of the frequency using dose management systems (DMS) installed and the associated difficulties in implementing DMS. The results of the questionnaire will help to provide further advice for installation and improvement.