CDC Laboratory Customer Satisfaction Survey
Form approved
OMB No: 0920-1050
Expiration Date:
6/30/2019
Thank you for participating in our short data
collection on Customer Satisfaction of our CDC Infectious Diseases
Reference Laboratories. We would like to obtain your input regarding
the service that you recently requested. 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, ATTNL PRA (0920-1050).
Section
I.
Please provide the following information regarding the
services that you requested from the CDC Infectious Diseases
Reference Laboratories:
Test(s) requested: ________________________
Date of service request: ___________________
Date of final report: ______________________
Section II.
How would you rate the following aspects of CDC's Infectious Diseases Reference Laboratory testing?
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Very Poor |
Poor |
Good |
Very Good |
Not Applicable |
1. Convenience: Ease of obtaining information about services offered?
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2. Forms: Ease of using current Specimen Submission Form?
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3. Timeliness: Were the results delivered within the time promised?
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4. Reports: Ease of reading and interpreting laboratory results? 5. Accessibility: Ease of reaching someone to interpret results?
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6. Overall impression of CDC's ID reference laboratory services?
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Section
III.
How useful have the following services been to you?
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Not useful at all |
Slightly Useful |
Moderately Useful |
Very Useful |
Extremely Useful |
1. Infectious Diseases Laboratory Test Directory
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2. Downloadable Specimen Submission Form
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3. Email delivery of encrypted reports
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Enter specific comments on these new services below (1000 character limit).
Section IV.
What customer service areas need improvement? Check all that
apply.
Infectious Diseases Laboratory Test Directory |
Help Desk for submitting specimens |
Downloadable Specimen Submission Form |
Other (Please specify) |
Email delivery of encrypted reports |
None requested |
Infectious Diseases Laboratory information website |
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Enter specific comments where improvements are needed (1000 character limit).
Section V.
Your Work Contact Information
Position:
Work City/State:
Work Email Address (Optional):
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Restea, Elisa (CDC/CGH/DGHP) (CTR) (CDC) |
| File Modified | 0000-00-00 |
| File Created | 2021-01-23 |