Medical Laboratory Satisfaction - Patient example

This is an example Medical Laboratory Satisfaction - Patient survey. This survey includes questions like:

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1) Is this the first time you have had medical tests completed at this laboratory?
2) Where did you have your blood drawn for your medical tests?
3) How satisfied were you with your experience of having your blood drawn for your medical tests?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
4) How satisfied were you with the professionalism of the phlebotomist (the person who drew your blood)?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
5) How satisfied were you with the friendliness of the phlebotomist?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
6) How satisfied were you with the cleanliness of the room where you had your blood drawn?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
7) How helpful were laboratory personnel in explaining the procedures for collection of the specimen required for your medical test?
  • Very Helpful
  • Somewhat Helpful
  • Not Very Helpful
  • Not at all Helpful
8) Did you contact our billing office for questions about your laboratory bill?
9) How satisfied were you with customer service when you contacted our billing office?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
10) Please tell us what, if anything, we can do to improve our services to you.
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