CDC ID Reference Labs Customer Satisfaction Survey

Surveys of State, Tribal, Local and Territorial (STLT) Governmental Health Agencies

Reference Labs - Attachment B OMB Formatted CDC Customer Survey rev.1-27-12

CDC Infectious Diseases Reference Laboratories Customer Satisfaction Survey

OMB: 0920-0879

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Form approved

OMB No. 0920-0879

Expiration Date 03/31/2014



CDC Infectious Diseases Reference Laboratories Customer Satisfaction Survey



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

Very Good

Not Applicable


- -

-

+

+ +


  1. Convenience

Ease of obtaining information about services offered?

  1. Accessibility

Ease of reaching someone to interpret results?

  1. Timeliness

Was it [service, results?] delivered within the time promised?

  1. Forms

Ease of using current specimen submission form

  1. Reports

Ease of reading and interpreting laboratory results

  1. Overall

Overall impression of CDC’s ID reference laboratory services




II. Open-Ended Questions:

  1. What are the three most important things CDC can do to improve the delivery of their ID reference laboratory services?



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






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).’




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




III. Your Information:


Name:


Position:


City, State:


2


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