Medical Laboratory Satisfaction Web Survey Template:
This Web survey template is named the Medical Laboratory Satisfaction - Patient survey template. It has questions that are intended for patients to answer, not hospital staff or doctors. It includes items that measure Patient satisfaction of laboratory services. This web survey includes questions about billing, specimen collection, and staff. You can make a free web survey based on a web template like this medical laboratory satisfaction web survey. Just try checking out
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1) Is this the first time you have had medical tests completed at this laboratory?
-- Select Here --
Yes
No
2) Where did you have your blood drawn for your medical tests?
-- Select Here --
Doctor's Office (skip to question 7)
Hospital
Laboratory
Not Applicable/No Blood Drawn (skip to question 7)
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?
-- Select Here --
Yes
No
Not Applicable/Billed through Doctor's Office
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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