Lab Client Satisfaction Survey

City of Houston Health Department Laboratory - Feedback

Feedback: CLIENT SATISFACTION SURVEY

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* 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?	Were the laboratory employees courteous and professional? 1 Poor	Were the laboratory employees courteous and professional? 2 Weak	Were the laboratory employees courteous and professional? 3 Average	Were the laboratory employees courteous and professional? 4 Good	Were the laboratory employees courteous and professional? 5 Excellent
How was the response to your requests, questions, and problems?	How was the response to your requests, questions, and problems? 1 Poor	How was the response to your requests, questions, and problems? 2 Weak	How was the response to your requests, questions, and problems? 3 Average	How was the response to your requests, questions, and problems? 4 Good	How was the response to your requests, questions, and problems? 5 Excellent
How do you rate the accessibility of the facility?	How do you rate the accessibility of the facility? 1 Poor	How do you rate the accessibility of the facility? 2 Weak	How do you rate the accessibility of the facility? 3 Average	How do you rate the accessibility of the facility? 4 Good	How do you rate the accessibility of the facility? 5 Excellent
Were your complaints handled effectively?	Were your complaints handled effectively? 1 Poor	Were your complaints handled effectively? 2 Weak	Were your complaints handled effectively? 3 Average	Were your complaints handled effectively? 4 Good	Were your complaints handled effectively? 5 Excellent
Are you receiving your results in a timely fashion?	Are you receiving your results in a timely fashion? 1 Poor	Are you receiving your results in a timely fashion? 2 Weak	Are you receiving your results in a timely fashion? 3 Average	Are you receiving your results in a timely fashion? 4 Good	Are you receiving your results in a timely fashion? 5 Excellent

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* 2. What service related improvements can you recommend?

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* 3. Other questions or comments?

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* 4. Please enter a date.

Date:

Date