Dear Client: Your feedback on our service is essential so that we may continue to provide quality patient care.
Please take a few moments to complete this confidential survey.

1. Please check:

2. Please check appropriate boxes for the Laboratory Service(s) you use regularly:

3. Is the Turn-Around Time acceptable for the tests offered by the above services?

4. How would you rate the laboratory as a whole on the following characteristics and service aspects?

    Poor     Fair       Good     Very Good Excellent
Responsiveness (willingness to resolve problems)
Reliability of analytical results
Quality/Usefulness of reports
Value of interpretive comments on reports
Courier (Specimen Pick-up) Service

5. Do you utilize the expertise of the laboratory staff when you require additional information?

6. Do you have sufficient information about specimen / test requirements? How would you like such information communicated to you?

7. How would you rate your overall Satisfaction with our laboratory service(s)?

  Not at all
  1     2     3     4   Completely

8. Additional Comments: