Exit this survey Q1 2017 Patient Satisfaction Survey 1. Question Title * 1. Site Location: Question Title * 2. Name Question Title * 3. Please rate our Patient Care Center based on today's visit. Excellent Good Average Fair Poor Respect shown for your privacy. Respect shown for your privacy. Excellent Respect shown for your privacy. Good Respect shown for your privacy. Average Respect shown for your privacy. Fair Respect shown for your privacy. Poor Time you waited for collection. Time you waited for collection. Excellent Time you waited for collection. Good Time you waited for collection. Average Time you waited for collection. Fair Time you waited for collection. Poor Professionalism of our staff. Professionalism of our staff. Excellent Professionalism of our staff. Good Professionalism of our staff. Average Professionalism of our staff. Fair Professionalism of our staff. Poor Cleanliness of our facility. Cleanliness of our facility. Excellent Cleanliness of our facility. Good Cleanliness of our facility. Average Cleanliness of our facility. Fair Cleanliness of our facility. Poor Question Title * 4. Additional questions: Yes No Did we anticipate and satisfy your needs? Did we anticipate and satisfy your needs? Yes Did we anticipate and satisfy your needs? No Did we greet you in a warm and friendly manner? Did we greet you in a warm and friendly manner? Yes Did we greet you in a warm and friendly manner? No Our goal is to put the patient first in everything we do. Did we meet that goal? Our goal is to put the patient first in everything we do. Did we meet that goal? Yes Our goal is to put the patient first in everything we do. Did we meet that goal? No Question Title * 5. Return visit? Yes Probably Maybe Probably Not No Will you return to our facility for testing? Will you return to our facility for testing? Yes Will you return to our facility for testing? Probably Will you return to our facility for testing? Maybe Will you return to our facility for testing? Probably Not Will you return to our facility for testing? No Question Title * 6. Who is your insurance with? Aetna Cigna United Health Care Other Aetna Cigna United Health Care Other Question Title * 7. Comments: Done