10616 info@squarehospital.com

Customer Satisfaction Survey

1. On a scale of 1 to 5, Please rate the following.
1 Poor 2 Weak 3 Average 4 Good 5 Excellent
I. Were the laboratory or phlebotomy employees courteous and professional?
II. Was the laboratory or phlebotomy site was neat and clean?
III. How do you rate the accessibility of the facility?
IV. How was the response to your requests, questions, and problems?
V. Were your complaints handled effectively?
VI. Are you receiving your results in a timely fashion?
2. What service related improvements would you like to recommend?
3. Other questions or comments, if any?
4. Please enter a date