Louisville Metro Public Health and Wellness Laboratory Client Satisfaction Survey 2008

1. What tests does the Louisville Metro Public Health and Wellness Laboratory (LMPHW Lab) perform for your facility? Please check all that apply.

What tests does the Louisville Metro Public Health and Wellness Laboratory (LMPHW Lab) perform for your facility? Please check all that apply. Blood Lead Screening

Tuberculosis

Sickle Cell Screening

Gonorrhea/Chlamydia

Syphilis (RPR/FTA)

Drugs of Abuse Screening

Environmental Testing (Pools, Wastewater)

Herpes

2. How does your facility order supplies from the LMDPHW Lab?

How does your facility order supplies from the LMDPHW Lab? Email

Computer

Phone

Fax

3. How satisfied are you with your method of ordering?

How satisfied are you with your method of ordering? Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Very dissatisfied

4. How satisfied are you with the turn around time for lab supply orders for the following tests? Check all that apply.

	Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Blood Lead	How satisfied are you with the turn around time for lab supply orders for the following tests? Check all that apply. Blood Lead Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Gonorrhea and Chlamydia	Gonorrhea and Chlamydia Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Syphillis RPR/FTA	Syphillis RPR/FTA Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Sickle Cell	Sickle Cell Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Drugs of Abuse	Drugs of Abuse Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied

5. If dissatisfied, what is your current turn around time?

If dissatisfied, what is your current turn around time?

6. How satisfied is your facility with the turn around time for sample results for the following tests? Please check all that apply.

	Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Blood Lead	How satisfied is your facility with the turn around time for sample results for the following tests? Please check all that apply. Blood Lead Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Gonorrhea and Chlamydia	Gonorrhea and Chlamydia Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Syphilis RPR/FTA	Syphilis RPR/FTA Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Sickle Cell	Sickle Cell Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Drugs of Abuse	Drugs of Abuse Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Tuberculosis	Tuberculosis Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Environmental	Environmental Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied
Herpes	Herpes Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very dissatisfied

7. How satisfied is your facility with the responsiveness of LMDPHW Lab personnel?

How satisfied is your facility with the responsiveness of LMDPHW Lab personnel? Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Very dissatisfied

If dissatisfied, can you elaborate on the particular incidences within the last 12 months that left you dissatisfied and how you would suggest we change to address them.

8. Are there other tests that your facility would like to be able to order from the LMDPHW Lab?

Are there other tests that your facility would like to be able to order from the LMDPHW Lab?

9. Other Comments:

Other Comments:

10. Facility Name (optional)

Facility Name (optional)

11. Person Completing Form (optional)

Person Completing Form (optional)

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