Western Pathology Client Satisfaction Survey

Your highly regarded assessment allows us to continue to be the leading stewards of pathology, providing the best possible patient outcomes.

Question Title

* 1. Please provide us with your contact information

Name *

Practice Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 2. Which of the following services do you utilize?

Cytopathology

GI and Liver Pathology

OB/Gyn Pathology

Molecular Diagnostics (HPV, CT/GC, STI Panels)

Hematopathology

Skin and Soft Tissue (SSTI) Panel

Endocrine Pathology

Renal and GU Pathology

General Surgery

Other (please specify)

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* 3. What is your clinical specialty?

Breast

Dermatology

Ear, Nose, and Throat

Family Practice

Gastroenterology

Hematology/Oncology

Internal Medicine

Obstetrics/Gynecology

Urology

Other (please specify)

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* 4. Please rate the following categories:

	Below average	Average	Good	Excellent	N/A
Quality / reliability of results	Quality / reliability of results Below average	Quality / reliability of results Average	Quality / reliability of results Good	Quality / reliability of results Excellent	Quality / reliability of results N/A
Accessibility of pathologists	Accessibility of pathologists Below average	Accessibility of pathologists Average	Accessibility of pathologists Good	Accessibility of pathologists Excellent	Accessibility of pathologists N/A
Responsiveness of pathologists	Responsiveness of pathologists Below average	Responsiveness of pathologists Average	Responsiveness of pathologists Good	Responsiveness of pathologists Excellent	Responsiveness of pathologists N/A
Courtesy of pathologists	Courtesy of pathologists Below average	Courtesy of pathologists Average	Courtesy of pathologists Good	Courtesy of pathologists Excellent	Courtesy of pathologists N/A
Routine turnaround time	Routine turnaround time Below average	Routine turnaround time Average	Routine turnaround time Good	Routine turnaround time Excellent	Routine turnaround time N/A
STAT turnaround times	STAT turnaround times Below average	STAT turnaround times Average	STAT turnaround times Good	STAT turnaround times Excellent	STAT turnaround times N/A
Western Pathology Requisition Forms	Western Pathology Requisition Forms Below average	Western Pathology Requisition Forms Average	Western Pathology Requisition Forms Good	Western Pathology Requisition Forms Excellent	Western Pathology Requisition Forms N/A
Comprehensiveness of the final report	Comprehensiveness of the final report Below average	Comprehensiveness of the final report Average	Comprehensiveness of the final report Good	Comprehensiveness of the final report Excellent	Comprehensiveness of the final report N/A
Mode of final report transmission and receipt	Mode of final report transmission and receipt Below average	Mode of final report transmission and receipt Average	Mode of final report transmission and receipt Good	Mode of final report transmission and receipt Excellent	Mode of final report transmission and receipt N/A
Responsiveness of patient billing staff	Responsiveness of patient billing staff Below average	Responsiveness of patient billing staff Average	Responsiveness of patient billing staff Good	Responsiveness of patient billing staff Excellent	Responsiveness of patient billing staff N/A
Courtesy of Western Pathology staff	Courtesy of Western Pathology staff Below average	Courtesy of Western Pathology staff Average	Courtesy of Western Pathology staff Good	Courtesy of Western Pathology staff Excellent	Courtesy of Western Pathology staff N/A
Efficiency and responsiveness of sales representative	Efficiency and responsiveness of sales representative Below average	Efficiency and responsiveness of sales representative Average	Efficiency and responsiveness of sales representative Good	Efficiency and responsiveness of sales representative Excellent	Efficiency and responsiveness of sales representative N/A
Overall experiences with Western Pathology	Overall experiences with Western Pathology Below average	Overall experiences with Western Pathology Average	Overall experiences with Western Pathology Good	Overall experiences with Western Pathology Excellent	Overall experiences with Western Pathology N/A

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* 5. Please provide any additional suggestions that may improve our services:

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* 6. What do you like most about our services?

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* 7. What do you like least about our services?

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* 8. What test(s) are your currently sending?

Surgical Pathology

Pap Smear

HPV

Chlamydia / Gonorrhea

BD Affirm

Molecular STI Testing

Bone Marrow

Flow Cytometry

Other (please specify)

Question Title

* 9. Does your office use another laboratory for your pathology services?

Yes

If Yes, please provide the laboratory name and reason.

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* 10. How likely are you to recommend our laboratory services to other physicians?

Extremely Likely

Very likely

Moderately likely

Slightly likely

Not at all likely

Comments

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* 11. This survey was completed by:

Physician

Nurse

Medical Assistant

Administrator

Other (please specify)

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* 12. Would you like for one of our representatives to contact you to address an immediate issue?

Yes

If Yes, please provide your name and contact information

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* 13. Do we have your permission to your use your comments and Practice name on our website?

Yes