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SLO Public Health Laboratory Customer Service Questionnaire

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1. I would like to comment on my experience with the SLO PUBLIC HEALTH laboratory on (specific date):
 Pick date
Clear selection
No specific date:
2. I requested the following test or information:
Microbiology
Serology
Virology
Molecular
Training
Water testing
Billing or Fees
Supplies order
Other testing or information:
3. The testing information I was seeking was:
For my own records
For patient care
Required by law
For client
For public health monitoring
For water quality
Other (please specify):
4. My initial contact with the SLO PUBLIC HEALTH lab was (check ALL that apply):
Submitted test sample
Main enterance (reception)
Internet website
Main telephone line (805)781-5507
Scientist in lab
Service window
Other (please specify):
5. The primary contact (personal interaction) was (check ALL that apply):
Very helpful
Polite
Professional
Knowledgeable
Somewhat helpful
Not helpful
Rude
Other (please specify):
6. My experience with the SLO PUBLIC HEALTH laboratory Internet website was:
Helpful
Easy to follow
Confusing
N/A - haven't used the site
Other (please specify):
7. My experience with the SLO PUBLIC HEALTH Laboratory phone (805)781-5507 was:
Helpful
Easy to follow
Frustrating
Confusing
N/A - haven't used the phone line
Other (please specify):
8. The time it took for me to receive the help I needed was:
1 - 5 minutes
5 - 10 minutes
15 - 30 minutes
Over 30 minutes
I was transferred to several people before I received my answer
I never did get my question answered
Too long
Specify amount of time:
9. After I submitted the sample for testing, I received the report (wd=working days; working days = Monday through Friday 8 a.m. - 5 p.m.):
Within 24 hours
Within 3 wd
4 - 6 wd
Week or more
Had to call for results
Had to call more than once for results
Specify number of calls:
10. The SLO PUBLIC HEALTH Laboratory's fees are:
Below average
Competitive
Average
High
Comments:
11. How would you rate the service provided by the SLO PUBLIC HEALTH Laboratory?
PoorAdequateGoodVery GoodExcellent
12. If you rquested help or information on specimen collection, how would you rate our response?
PoorAdequateGoodVery GoodExcellent
13. Was the printed report complete and easy to understand?
PoorAdequateGoodVery GoodExcellent
14. How would you rate our requisition (test order form) for ease of use?
PoorAdequateGoodVery GoodExcellent
15. If you needed help completing the test order form, how would you rate our response?
PoorAdequateGoodVery GoodExcellent
16. How can we be more helpful when you use our services?
17. As a Laboratory Services customer, I would describe myself or my employer as the followiong:
Business
Public Health
Clinical Laboratory
Food vendor
Government agency
Health care provider
Law enforcement agency
Private/general public
Public health agency
Water provider
Other (please specify):
18. I use the lab services:
Once a week or more
Up to 3 times/month
12 or more times/year
I have only used the lab services once
Other (please specify):
19. The following information is optional, however, if you would like a reply to your concerns, contact information is necessary
Name:
Company:
Job Title:
Address:
City, State, Zipcode
Telephone:
Email:
 

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