Thank you for using our Western Diagnostic Pathology services.

Your feedback is important to us and we appreciate your time. 

Data collected will be kept strictly confidential and will only be used for internal improvement purposes. 

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* 1. What was your interaction with Western Diagnostic Pathology?

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* 2. What date did we provide a collection service for you?

Date 

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* 3. What is your gender?

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* 4. What age group do you fall under?

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* 5. If you attended a Collection Centre, which Collection Centre did you attend? Please provide specific location if possible.

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* 6. How satisfied are you with the appearance and comfort of our Collection Room?

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* 7. How long did you have to wait today at the Collection Centre or when booking in your home visit collection?

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* 8. Did the Collector answer all your questions to your satisfaction?

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* 9. How likely is it that you would recommend Western Diagnostic Pathology to a friend or colleague?

Not at all likely
Extremely likely

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* 10. Please tell us what Western Diagnostic Pathology can do to improve your patient experience. If there is a particular employee you would like to acknowledge, please provide their name and what they did well. 

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* 11. Would you like a customer service representative to contact you about your experience with Western Diagnostic Pathology? (If Yes, please supply full name and contact details)

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* 12. Your contact details (Optional)

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