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Toxicology
Satisfaction Survey
Satisfaction Survey
Toxicology customer satisfaction survey.
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First Name
Last Name
Company Name
Case number
1. How would you rate your level of satisfaction with our laboratory’s customer service
Very satisfied—no improvement necessary
Satisfied—needs minor improvement
Dissatisfied—needs a few improvements
Very dissatisfied—needs considerable improvements
2. How would you rate your interactions with our laboratory’s employees?
Very satisfied—always friendly and helpful, tend to go the extra mile
Satisfied—mostly friendly and helpful
Dissatisfied—often abrupt and appear unconcerned
Very dissatisfied—unfriendly and unhelpful
3. How would you rate the overall quality of your relationship with our laboratory?
Excellent
Good
Fair
Poor
4. Please list one aspect of customer service you wish our laboratory would improve.
Physician-specific questions
1. How would you rate the ease and availability of consultative services offered by our laboratory?
Excellent
Good
Fair
Poor
2. How would you rate the quality of interaction you receive during consultations with our laboratory?
Excellent
Good
Fair
Poor
Comments
Nursing-specific questions
1. Do you receive adequate feedback when there is a problem with a specimen?
Yes
No
If no, please explain in comments
2. Is laboratory staff available and helpful?
Yes
No
If no, please explain in comments
If no please explain in more detail.
Outreach client-specific questions
1. Please rate your level of agreement with the following statements:
I believe LCCO Toxicology Laboratory values my business
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Over the past year my satisfaction with LCCO Toxicology Laboratory has increased.
Strongly Agree
Agree
Neutral
Disagree
Stronglly Disagree
I would recommend LCCO Toxicology Laboratory.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
2. Compared to your experience with other laboratory providers, LCCO Toxicology Laboratory’s customer service is:
Excellent
Above average
Average
Below average
Other outreach feedback
Any other comments or suggestions on how we can improve not covered in the above questions
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Mission Statement
Comment/Complaint
Satisfaction Survey
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