CUSTOMER SATISFACTION SURVEY

 

 

 

First, we would like to thank you for using Mid-Florida pathology services. To insure our clients absolute satisfaction we would like to ask you to complete the following customer satisfaction survey. Please evaluate your satisfaction using a 1-5 scale 5 being completely satisfied and 1 being completely unsatisfied.

 

 Practice name: _________________________________________________________

 Physician name:_________________________________________________________________

 Specialty: ______________________________________________________________________

 Person completing the survey: ____________________________Title:________________________

 Contact person Phone:_________________________

Fax:________________________________________

 Email:______________________________________

  

Categories evaluated

5

4

3

2

1

Timeliness of report

 

 

 

 

 

 

Technical component of Report

 

 

 

 

 

 

Access to web portal or other method of report delivery

 

 

 

 

 

 

Interaction with pathologist

 

 

 

 

 

 

Overall customer service

 

 

 

 

 

 

 

Comments:

 

 

 

 

 

 

 

 

 

 

 

 

Please compete the survey and return it by fax to (352) 460-0785 or by email at This email address is being protected from spambots. You need JavaScript enabled to view it.