* 1. Please provide us with your 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 pathologists
Responsiveness of pathologists
Courtesy of pathologists
Routine turnaround time
STAT turnaround times
ADX Western Pathology Requisition Forms
Comprehensiveness of the final report
Mode of final report transmission and receipt
Responsiveness of patient billing staff
Courtesy of ADX Western Pathology staff
Efficiency and responsiveness of sales representative
Overall experiences with ADX Western Pathology

* 5. Please provide any additional 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(s) are your 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 for one of our representatives to contact you to address an immediate issue?

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