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* 1. Name (optional)

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* 2. Which East Side laboratory location did you visit?

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* 3. On which day did you visit an East Side Laboratory Patient Service Center?

Date

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* 4. The staff was courteous and professional.

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* 5. You were taken care of in a timely fashion.

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* 6. The facility has a professional and clean appearance.

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* 7. You would recommend our laboratory service to others.

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* 8. I am satisfied with the service I received today.

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* 9. If you have any additional feedback, please provide below:

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