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1. Date Completed: (Required.)

Date

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

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4. Please rate our services. (Required.)

  Strongly Agree Agree Disagree Strongly Disagree Not Applicable (N/A)
Test results received are accurate, complete and timely.
Laboratory staff (client services) are professional and helpful whenever I require assistance.
A lab representative contacts my office on regular basis.
Courier services are professional and adhere to the scheduled pickup times.
Laboratory supply orders are accurately filled and arrive timely.
A Pathologist is available when I require a consultation.
STAT services, when needed, are satisfactory.
Electronic test order entry and result access is easy and convenient.
Overall, I am satisfied with the lab's services.
I would recommend this lab to my colleagues.

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5. Recommendations to improve service levels are:

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

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7. Please provide your name, email address, and phone number.

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