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Lab Client Satisfaction Survey
City of Houston Health Department Laboratory - Feedback
Feedback: CLIENT SATISFACTION SURVEY
1.
On a scale of 1 to 5, 1 being Poor and 5 being Excellent, Please rate the following.
1 Poor
2 Weak
3 Average
4 Good
5 Excellent
Were the laboratory employees courteous and professional?
1 Poor
2 Weak
3 Average
4 Good
5 Excellent
How was the response to your requests, questions, and problems?
1 Poor
2 Weak
3 Average
4 Good
5 Excellent
How do you rate the accessibility of the facility?
1 Poor
2 Weak
3 Average
4 Good
5 Excellent
Were your complaints handled effectively?
1 Poor
2 Weak
3 Average
4 Good
5 Excellent
Are you receiving your results in a timely fashion?
1 Poor
2 Weak
3 Average
4 Good
5 Excellent
2.
What service related improvements can you recommend?
3.
Other questions or comments?
4.
Please enter a date.
Date:
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
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1911
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1914
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1916
Su
Sunday
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Monday
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Tuesday
We
Wednesday
Th
Thursday
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Friday
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Saturday
01
02
03
04
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09
10
11
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13
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21
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30