Feedback form – Department of Laboratory Medicine

As part of our continual improvement we would like to gain your feedback which is valuable for us to identify areas we can make improvement to the services we provide.

Name*

Patient / Attender* -- select -- Patient Attender

MR No*

Contact Number*

Address

Date Of Visit*

Please rate your experience in the following areas.

Communication during the sample collection*

Poor

Average

Good

Courtesy and technician attended during the sample collection*

Poor

Average

Good

Hygiene and environment at the blood collection facility*

Poor

Average

Good

Response to your doubts regarding tests*

Poor

Average

Good

Blood Collection procedure*

Poor

Average

Good

Information about turnaround time & overall service of the lab*

Poor

Average

Good

How long was the waiting time before drawing blood?*

0 - 5 Min

5 - 15 Min

15 - 30 Min

Above 30 Min

Share your feedback / suggestions to serve you better