CUSTOMER SURVEY

Name *

Clinic Name *

E-mail Address *

How long have you used our services?

Less than 1 month

1-3 months

3-6 months

6 months - 1 year

More than 1 year

Service usage

How satisfied are you with our services?

Very Unsatisfied

Unsatisfied

Neutral

Satisfied

Very Satisfied

Customer Service

Sales Representative

Result Turnaround Time

Test Result Format

Ease of use of our forms

Website Tools

Overall Satisfaction

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What are you most satisfied with?

What are you least satisfied with?

What can we do to better your overall satisfaction?

Do our services meet your expectations?

Yes

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Additional comments