Form 0920-1071 CDC Laboratory Customer Satisfaction Survey - CDC NCEH N

CDC Laboratory Customer Satisfaction Survey

Form Approved OMB No. 0923-0047
Expiration Date: 12/31/2018

Thank you for participating in our short data collection on Customer Satisfaction of the CDC Newborn Screening Quality
Assurance Program. We would like to obtain your input regarding the service that you recently experienced in support of our
Quality Control (QC) and/or Proficiency Testing programs. This information will be used to identify areas of improvement.

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 (0923-0047).

* 1. Please provide the following information regarding the services that you requested from the CDC Newborn Screening
Quality Assurance Program:
QA (Quality Control and Proficiency Testing) Program(s) Requested:

Date of last proficiency testing evaluation & report received, if applicable (MO/DAY/YR):

Date of last request for customer service or support (MO/YR):

2. How would you rate the following aspects of CDC's Newborn Screening Quality Assurance Program?

Very Poor

Poor

Good

Very Good

N/A

Slightly Useful

Moderately
Useful

Very Useful

N/A, Did not
Use

1. Convenience: Ease of obtaining information about QA
programs offered?
2. Enrollment: Ease of using Request for Participation
Form?
3. Data Forms: Ease of using PT Data Reporting Form
and/or QC Data Reporting Form
4. Timeliness: Reports delivered within the time
promised?
5. Reports: Ease of reading and interpreting proficiency
test reports?
6. Accessibility: Ease of reaching someone to interpret
reports?
7. Overall impression of CDC's Newborn Screening PT
Programs and QC programs?
Other (please specify)

3. How useful have the following services been to you?

Not at all Useful
1. NSQAP Annual Report
(https://www.cdc.gov/labstandards/nsqap_reports.html)
2. NSQAP specialized quarterly proficiency testing
reports
(https://www.cdc.gov/labstandards/nsqap_reports.html)
3. NSQAP data reporting portal
Comments on your ratings:

4. How much, if any, improvement does each of these customer services need?
NO Improvement Needed

SOME Improvement
Needed

MUCH Improvement
Needed

N/A, Did not Use

1. Request for Participation
Form
2. NSQAP Website
3. Data Submission for
proficiency testing
programs reported by
spreadsheets through
email
4. Request for assistance
5. Program Directory/List
of Services
6. PT and Annual Reports
What other services, besides these, need improvement?

5. For those services that need improvement, please tell us the specific kind of improvements needed.

6. Please provide the following [OPTIONAL]:
Your Position
Your Work Location
(City/State)

Powered by

See how easy it is to create a survey.