Client Satisfaction Survey

Please rate each category as follows E=Excellent, V=Very Good, S=Satisfactory, U=Unsatisfactory, N=Not Applicable

• Overall Services

  General Satisfaction

  E V S U N
  MDL Client Service Reps

  E V S U N

• Knowledge of Staff

  MDL Sales & Account Reps

  E V S U N
  MDL Client Service Reps

  E V S U N

• Responsiveness

  MDL Sales & Account Reps

  E V S U N
  MDL Client Service Reps

  E V S U N

• Turn-around Time

  Results

  E V S U N
  Supplies

  E V S U N

• Quality

  General Satisfaction

  E V S U N
  Requisitions (ease of completing)

  E V S U N

• Delivery of Results

  Via fax and/or mail

  E V S U N
  Via Labtest.com or EMR interface

  E V S U N

Client Information

Client ID#

Clinic/Medical Facility Name

Person Completing Survey

Title

Address

City

State State/Territory Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Email

Submit Survey