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Global Pathology Client Survey
Your highly regarded assessment allows us to continue to be the leading stewards of pathology, providing the best possible patient outcomes.
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1.
Contact Information:
(Required.)
Name
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Practice
*
Address
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Address 2
City/Town
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State/Province
*
ZIP/Postal Code
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Email Address
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Phone Number
*
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2.
Overall, how satisfied are you with our services?
(Required.)
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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3.
Overall, how satisfied are you with the interpretation of your pathology reports?
(Required.)
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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4.
When you call Global Pathology, are the pathologists available for consultation?
(Required.)
Always
Sometimes
Seldom
N/A
Please comment on your experience.
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5.
Do you receive your reports in a timely fashion?
(Required.)
Yes
No
Please explain areas in which you have concerns.
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6.
How would you rate our Customer Service?
(Required.)
Very Satisfied
Somewhat Satisfied
Neither Satisfied or Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
Polite and Professional
Very Satisfied
Somewhat Satisfied
Neither Satisfied or Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
Knowledgeable
Very Satisfied
Somewhat Satisfied
Neither Satisfied or Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied
Able to Solve Problems
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.
When you contact our Billing Department are you satisfied with the help and information you receive?
(Required.)
Yes
No
Please share your experience.
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8.
How would you rate our courier service?
(Required.)
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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9.
What changes could we make to better serve you, your staff, and your patients?
(Required.)
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10.
Would you like a representative to contact you to address an immediate issue?
(Required.)
Yes
No
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11.
Do we have permission to use your comments and Practice name on our website?
(Required.)
Yes
No