* 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
Mark & Kambour Pathology requisition form
Comprehensiveness of the final report
Mode of final report transmission and receipt
Responsiveness of patient billing staff
Courtesy of Mark & Kambour Pathology staff
Efficiency and responsiveness of the sales representative
Overall experience with Mark & Kambour Pathology

* 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?

T