Question Title

* 2. Date Completed:

Date:

Question Title

* 3. Please select the survey number on the back of the postcard,the bottom of the survey, or the top of the email you received.

Question Title

* 4. Why does your practice use this laboratory? (check all that apply)

Question Title

* 5. Please rate our services.

  Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree
Test results received are accurate, complete and timely.
Client Services are professional and helpful whenever I require assistance.
A lab representative contacts my office on a regular basis.
Courier services are professional and adhere to the scheduled pickup times.
A Pathologist is available when I require a consultation.
Stat services, when needed, are satisfactory.
Supplies and requisitions are delivered on a timely basis.
My patients are satisfied with services they receive.
Overall, I am satisfied with the lab's services.

Question Title

* 6. Recommendations to improve service levels are:

Question Title

* 7. Would you like to speak with a laboratory representative about the services you have received?

Question Title

* 8. Please provide your name, email address, and phone number.

T