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INSTITUTE OF HUMAN GENETICS

National Institutes of Health University of the Philippines Manila
“The Health Sciences Center”

ISO 9001:2015 Certified

BIOCHEMICAL GENETICS LABORATORY

CUSTOMER SATISFACTION SURVEY FORM

Doc Code: BGL-FO-17

Revision No. 00

Effectivity Date: 28 June 2021

Your satisfaction regarding the services provided by the laboratory is an important indicator for the quality of our work. We therefore would like to ask you to please take a few minutes to fill in our short survey and help us improve our services.

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Promptness of Service (*M to F working days)	≤7 working days	8-10 working days	11-15 working days	15-30 working days	>30 working days
Attitude of Attending Personnel	Inconsiderate	Unprofessional	Knowledgeable	Efficient	Well-mannered

Question	Poor	Fair	Satisfactory	Very Satisfactory	Excellent
Released results are accurate with no errors in patient data
Overall assessment of the attitude of the attending staff
Overall quality of service

{{ __('Complaints/ Comments/ Suggestions to improve our services, if any:') }}

In submitting this form, I agree to my details being used for the purposes of surveying customer satisfaction. The information will only be accessed by necessary university staff. I understand my data will be held securely and will not be distributed to third parties. I have a right to change or access my information. I understand that when this information is no longer required for this purpose, official university procedure will be followed to dispose of my data.

Do you agree to the above terms?

Agree Disagree