EMH Reference Laboratory Client Satisfaction Survey
Page One
Thank you for taking our customer service questionnaire.
It will take only 2-3 minutes to complete. We appreciate your business and value your opinion. We’ll use your opinions to take stock of our service and support and to make improvements.
All your answers are confidential and help us to serve you better.
1.
Please identify your account with us by providing the following information:
First Name
Last Name
Title/Role
Practice Name
Street Address
City
Email Address
2.
How satisfied are you with each of the following services provided by EMH Reference Laboratory?
Very Satisfied
Satisfied
Somewhat Satisfied
Unsatisfied
Very Unsatisfied
N/A
Assistance/Problem resolution
Adequacy of test menu
Accessibility of pathologist
Courier promptness
Courier professionalism
Test turn around time
Reporting delivery
Report format
Interpretive report comments
Electronic test ordering/reporting
3.
Please rank each service category below in order of importance, most important being first.
1]
Assistance/Problem Resolution
2]
Adequacy of test menu
3]
Accessibility of pathologist
4]
Test turnaround time
5]
Courier promptness
6]
Courier professionalism
7]
Report delivery
8]
Report format
9]
Interpretive report comments
10]
Electronic test ordering/reporting
4.
Overall satisfaction
Very Satisfied
Satisfied
Somewhat Satisfied
Unsatisfied
Very Unsatisfied
Overall, how happy are you with our laboratory services?
5.
Please rate our Client Service representatives.
Click on the number of stars to rate each item.
Rating
Promptness
Courteous
Helpful
Knowledgeable
Efficient
Understood my needs
6.
Please rate our Billing representatives.
Click on the number of stars to rate each item.
Rating
Promptness
Courteous
Helpful
Knowledgeable
Efficient
Understood my needs
7.
Where do we need to improve most?
Please click the boxes to rank the following areas; numbers will fill in automatically. Number 1 is the area we MOST need to improve on.
1]
Patience/Ability to listen
2]
Personal attention
3]
Follow up
4]
Friendliness
5]
Knowledge
6]
Wait/Hold time
8.
Customer Service satisfaction
Very Satisfied
Satisfied
Somewhat Satisfied
Unsatisfied
Very Unsatisfied
Overall, how happy are you with our customer service?
9.
What is the name of your Practice Management System (PMS)
10.
Select the statement below that applies to your practice
I currently have an Electronic Medical Records System (EMR)
I plan on purchasing an EMR in the next 6-12 months
I plan on purchasing an EMR 12-24 months from now
I do NOT plan on purchasing an EMR in the next 2 years
11.
If you currently have an Electronic Management System, what is the name of this system?
12.
What else could we do better? Do you have any other comments?
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