* 1. Contact Information

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

* 3. What is your clinical specialty?

* 4. Please rate the following categories?

  Below Average Average Good Excellent N/A
Quality/reliability of results
Accessibility of pathologist
Responsiveness of pathologist
Courtesy of pathologist
Routine turnaround times
STAT turnaround times
Bernhardt Laboratories requisition form
Comprehensiveness of the final report
Mode of final report transmission and receipt
Responsiveness of patient billing staff
Courtesy of Bernhardt Laboratories staff
Efficiency and responsiveness of the sales representative
Overall experience with Bernhardt Laboratories

* 5. Please provide any addtional suggestions that may improve our services.

* 6. What do you like most about our services?

* 7. What do you like least about our services?

* 8. What test are you currently sending?

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

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

* 11. This survey was completed by:

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