CDC Infectious Diseases Laboratories Customer Satisfaction Survey

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Form approved
OMB No. 0920-0879
Expiration Date
03/31/2014

I. How would you rate the following aspects of CDC's
infectious diseases (ID) reference laboratory services? (Does not include
surveillance testing or outbreak investigations)

Very Poor

Poor

Good

Very Good

Not Applicable

1. Convenience: Ease of obtaining information
about services offered?

surveillance testing or outbreak investigations) 1. Convenience: Ease of
obtaining information about services offered? Very
Poor

1. Convenience: Ease of obtaining information about services
offered? Poor

1. Convenience: Ease of obtaining information about services
offered? Good

1. Convenience: Ease of obtaining information about services
offered? Very Good

1. Convenience: Ease of obtaining information about services
offered? Not Applicable

2. Accessibility: Ease of reaching someone to
interpret results?

2. Accessibility: Ease of reaching someone to interpret
results? Very Poor

2. Accessibility: Ease of reaching someone to interpret
results? Poor

2. Accessibility: Ease of reaching someone to interpret
results? Good

2. Accessibility: Ease of reaching someone to interpret
results? Very Good

2. Accessibility: Ease of reaching someone to interpret
results? Not Applicable

3. Timeliness: Was it [service, results?]
delivered within the time promised?

3. Timeliness: Was it [service, results?] delivered within
the time promised? Very Poor

3. Timeliness: Was it [service, results?] delivered within
the time promised? Poor

3. Timeliness: Was it [service, results?] delivered within
the time promised? Good

3. Timeliness: Was it [service, results?] delivered within
the time promised? Very Good

3. Timeliness: Was it [service, results?] delivered within
the time promised? Not Applicable

4. Forms: Ease of using current specimens
submission form

4. Forms: Ease of using current specimens submission form
Very Poor

4. Forms: Ease of using current specimens submission form
Poor

4. Forms: Ease of using current specimens submission form
Good

4. Forms: Ease of using current specimens submission form
Very Good

4. Forms: Ease of using current specimens submission form Not
Applicable

5. Reports: Ease of reading and interpreting
laboratory results

5. Reports: Ease of reading and interpreting laboratory
results Very Poor

5. Reports: Ease of reading and interpreting laboratory
results Poor

5. Reports: Ease of reading and interpreting laboratory
results Good

5. Reports: Ease of reading and interpreting laboratory
results Very Good

5. Reports: Ease of reading and interpreting laboratory
results Not Applicable

6. Overall: Overall impression of CDC'S ID
reference laboratory services

6. Overall: Overall impression of CDC'S ID reference
laboratory services Very Poor

6. Overall: Overall impression of CDC'S ID reference
laboratory services Poor

6. Overall: Overall impression of CDC'S ID reference
laboratory services Good

6. Overall: Overall impression of CDC'S ID reference
laboratory services Very Good

6. Overall: Overall impression of CDC'S ID reference
laboratory services Not
Applicable

II. Open-Ended Questions:
7. What are the three most
important things CDC can do to improve the delivery of their ID reference
laboratory services?

II. Open-Ended Questions: 7. What
are the three most important things CDC can do to improve the delivery of their
ID reference laboratory services?

8. What are two things currently provided by CDC's ID
reference laboratory services that are the most helpful to you?

8. What are two things currently
provided by CDC's ID reference laboratory services that are the most helpful to
you?

9. What should be included in CDC's ID reference laboratory
services that do not currently exist?

9. What should be included in CDC's
ID reference laboratory services that do not currently
exist?

III. Your Information

III. Your Information
Name:

Position:

City/State:

‘Public reporting burden of this collection of information is
estimated to average 10 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a currently valid OMB control
number. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to
CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74,
Atlanta, Georgia 30333; ATTN: PRA (0920-0879).’

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