Reference Laboratory

Patient Satisfaction Survey

While you are at Willis-Knighton, we want to provide you with the highest quality healthcare available in a comprehensive, compassionate and professional manner. We also want you to be completely comfortable and confident in the care and laboratory results you are receiving. To help us evaluate our performance, please take a moment to fill out our questionnaire. Your comments and suggestions, both positive and negative, will help us accomplish our mission to continuously improve the health and well being of the people we serve.

Date of Visit:
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Respect shown for your privacy:
Time you waited for collection:
Professionalism of our staff:
Cleanliness of our facility:
Did we anticipate and satisfy your needs?
Did we greet you in a warm and friendly manner?
Our goal is to put the patient first in everything we do. Did we meet that goal?
Is the laboratory located within a convenient area?
Was our waiting room clean & comfortable?
Was the collection area clean and prepared for your visit or needs?
Will you return to our facility for testing?
Please tell us who or what had a positive impact on your visit (Optional):
Please suggest one or more area(s) of improvement that would have made a significant difference in your overall experience (Optional):
Would you like someone to contact you about your experience?

About You (Optional):

Your Name:
Phone Number:
E-mail Address:

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