Medical Laboratory Services example

This is an example Medical Laboratory Services survey. This survey includes questions like:

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1) How long have you been using the services of the [Medical Laboratory]?
Please tell us how satisfied or dissatisfied you are with each of the following services provided by the laboratory.
2) How satisfied are you with your routine courier service?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
3) How satisfied are you with your stat courier service?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
4) Routine turn-around times?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
5) Stat turn-around times?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
6) How satisfied are you with client services when you phone the laboratory for results?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
7) How satisfied are you with client services when you phone the laboratory for questions on specimen collection?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
8) How satisfied are you with the format of the printed test results?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
9) Overall, how satisfied are you with the services you receive from the laboratory?
  • Very Satisfied
  • Somewhat Satisfied
  • Undecided
  • Somewhat Dissatisfied
  • Very Dissatisfied
Please rate the following services provided by the laboratory with 1 being excellent and 5 being poor.
10) Courier Services
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
11) Stat Courier Services
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
12) Client Services
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
13) Routine Turn-Around Times
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
14) Stat Turn-Around Times
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
15) Results Format
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
Please rate the quality of the services from the following areas of the laboratory with 1 being excellent and 5 being poor.
16) Chemistry
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
17) Hematology
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
18) Toxicology
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
19) Microbiology
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
20) Cytology
  • 1 Excellent
  • 2
  • 3
  • 4
  • 5 Poor
21) Please tell us how we can improve our laboratory services to you.
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