Greensboro Pathology Associates Client Survey

Question Title

* 1. Contact Information

Name: *

Practice: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. Which of the following services do you utilize?

Cytology: Pap Smears

GI and Liver Pathology

OB/GYN Pathology

Molecular Diagnostics (HPV, CT/GC, STI Panels)

Hematopathology

Dermatopathology

Skin and Soft Tissue (SSTI) Panel

Endocrine Pathology

Renal and GU Pathology

Other (please specify)

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* 3. What is your clinical specialty?

Breast

Dermatology

Ear, Nose, and Throat

Family Practice

Gastroenterology

Hematology/Oncology

Internal Medicine

Obstetrics/Gynecology

Urology

Other (please specify)

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* 4. Overall, how satisfied are you with our services?

Very satisfied

Somewhat satisfied

Neither Satisfied or Dissatisfied

Somewhat Dissatisfied

Very Dissatisfied

Other (please specify)

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* 5. Please rate the following categories:

	Below Average	Average	Good	Excellent	N/A
Quality/Reliability of Results	Quality/Reliability of Results Below Average	Quality/Reliability of Results Average	Quality/Reliability of Results Good	Quality/Reliability of Results Excellent	Quality/Reliability of Results N/A
Responsiveness of Pathologist	Responsiveness of Pathologist Below Average	Responsiveness of Pathologist Average	Responsiveness of Pathologist Good	Responsiveness of Pathologist Excellent	Responsiveness of Pathologist N/A
Routine Turnaround Time	Routine Turnaround Time Below Average	Routine Turnaround Time Average	Routine Turnaround Time Good	Routine Turnaround Time Excellent	Routine Turnaround Time N/A
STAT Turnaround Times	STAT Turnaround Times Below Average	STAT Turnaround Times Average	STAT Turnaround Times Good	STAT Turnaround Times Excellent	STAT Turnaround Times N/A
Comprehensiveness of the Final Report	Comprehensiveness of the Final Report Below Average	Comprehensiveness of the Final Report Average	Comprehensiveness of the Final Report Good	Comprehensiveness of the Final Report Excellent	Comprehensiveness of the Final Report N/A
Courtesy of Greensboro Pathology Associates Billing Staff	Courtesy of Greensboro Pathology Associates Billing Staff Below Average	Courtesy of Greensboro Pathology Associates Billing Staff Average	Courtesy of Greensboro Pathology Associates Billing Staff Good	Courtesy of Greensboro Pathology Associates Billing Staff Excellent	Courtesy of Greensboro Pathology Associates Billing Staff N/A
Courtesy of Greensboro Pathology Associates Staff	Courtesy of Greensboro Pathology Associates Staff Below Average	Courtesy of Greensboro Pathology Associates Staff Average	Courtesy of Greensboro Pathology Associates Staff Good	Courtesy of Greensboro Pathology Associates Staff Excellent	Courtesy of Greensboro Pathology Associates Staff N/A
Overall Experience with Greensboro Pathology Associates	Overall Experience with Greensboro Pathology Associates Below Average	Overall Experience with Greensboro Pathology Associates Average	Overall Experience with Greensboro Pathology Associates Good	Overall Experience with Greensboro Pathology Associates Excellent	Overall Experience with Greensboro Pathology Associates N/A

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* 6. How would you rate our courier services?

Very Satisfied

Somewhat Satisfied

Neither Satisfied or Dissatisfied

Somewhat Dissatisfied

Very Dissatisfied

Are there specific areas in which you are satisfied or dissatisfied?

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* 7. What changes could we make to better serve you, your staff, and your patients?

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* 8. Would you like a representative to contact you to address an immediate issue?

Yes

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* 9. This survey was completed by:

Physician

Nurse

Medical Assistant

Administrator

Other (please specify)

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* 10. Does your office use another laboratory for your pathology services?

Yes

If yes, please provide lab name and reason.

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* 11. How likely are you to recommend our laboratory services to other physicians?

Extremely likely

Very likely

Moderately likely

Slightly likely

Not at all likely

Comments

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* 12. Do we have permission to use your comments and Practice name on our website?

Yes