Lab Feedback Survey

Tell us about your experience

How are we doing?

Please take a few moments to answer questions about the Arizona State Public Health Laboratory (ASPHL). Your feedback can improve the effectiveness of Lab services.

Question Title

* 1. How did we help you today?

Information on testing

Information on lab licensure programs

Training

Specimen/Sample submission

Results

Other (please specify)

Question Title

* 2. Please rate the interactions you had with these services

Poor

Average

Good

Excellent

N/A

Poor

Average

Good

Excellent

N/A

Question Title

* 3. Was the staff helpful?

Yes

Question Title

* 4. What can we do to improve our services?

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* 5. How can we better assist you in the future?

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* 6. What kind of entity are you?

Hospital

Clinic

County

Law Enforcement

Governmental Laboratory

Non-governmental Laboratory

Vendor/Supplier

General Public

Other (please specify)

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* 7. Do you have any questions or comments you would like the lab staff to address?

Question Title

* 8. If you would like to be contacted, please provide the following:

Name

Phone