ARCHIVED - DO NOT USE - Patient Experience Survey - Blind River Site ONLY - Laboratory Services

Question Title

* 1. Day of visit.

Monday

Tuesday

Wednesday

Thursday

Friday

Question Title

* 2. Were the Laboratory staff on time with your scheduled appointment today?

Called in before scheduled appointment time

On time

Within 5-10 minutes

Within 11-20 minutes

Within 21-30 minutes

Over 30 minutes

Scheduled appointment time

Question Title

* 3. During this Laboratory visit, I had the opportunity to ask questions.

Always

Often

Sometimes

Rarely

Never

Question Title

* 4. During this Laboratory visit, my personal information was kept confidential.

Always

Often

Sometimes

Rarely

Never

Question Title

* 5. I feel comfortable with the Laboratory staff member that took my blood today.

Always

Often

Sometimes

Rarely

Never

Question Title

* 6. During this Laboratory visit, how often did the staff member that took your blood treat you with courtesy and respect.

Always

Often

Sometimes

Rarely

Never

Question Title

* 7. Would you recommend this Laboratory department to your friends and family.

Definitely Yes

Probably Yes

Probably No

Definitely No

Question Title

* 8. In the future, what would be your preferred method of booking your Laboratory appointments?

Online Booking

Telephone Booking / Leave a Message to Request an Appointment

Other (please specify)

ARCHIVED - DO NOT USE - Patient Experience Survey - Blind River Site ONLY - Laboratory Services

Question Title

* 1. Day of visit.

Question Title

* 2. Were the Laboratory staff on time with your scheduled appointment today?

Question Title

* 3. During this Laboratory visit, I had the opportunity to ask questions.

Question Title

* 4. During this Laboratory visit, my personal information was kept confidential.

Question Title

* 5. I feel comfortable with the Laboratory staff member that took my blood today.

Question Title

* 6. During this Laboratory visit, how often did the staff member that took your blood treat you with courtesy and respect.

Question Title

* 7. Would you recommend this Laboratory department to your friends and family.

Question Title

* 8. In the future, what would be your preferred method of booking your Laboratory appointments?

Question Title

* 9. Comments or suggestions