What location did you visit?*

Date*

Time

How long was your wait?*

I was taken back right awayLess than 10 minutes10-20 minutes20-30 minutesMore than 30 minutes

How likely are you to return to a BioReference Patient Service Center for future lab work?*

Very LikelyLikelyNot Likely

Location was convenient and easy to find*

Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeN/A

Location was clean and had hospitable appearance*

Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeN/A

The sign-in and registration process was efficient and convenient*

Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeN/A

When you entered our PSC/draw site, you were promptly acknowledged and welcomed

Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeN/A

Employee answered all your questions in a friendly and professional manner*

Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeN/A

Employee ensured the privacy of your personal information*

Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeN/A

Employee treated you with care and compassion*

Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeN/A

How would you rate your overall experience at this Patient Service Center?*

Very GoodGoodNeutralPoorVery PoorN/A

Please provide any additional details about your overall experience, comments that you have about your visit, as well as anything we could do to further improve our service. If you would like to provide specific feedback about the employee that helped you during your visit, please provide their name here.

Email

Age

Gender

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