Diagnostic Semen Analysis Questionnaire for ISO 15189 (4.14.3)

It is important that the laboratory seeks information regarding user perception; has the service met the needs and requirements of the user.

Please take 2 minutes to complete this small questionnaire so that we can assess the overall quality.

Question Title

1. Were you seen for your appointment on time?

Yes - I was seen early

Yes - I was seen on time

No - I was late attending the department

No - Andrology issue

Other (please specify)

Question Title

2. On a scale of 1-10, how helpful were the Andrology staff when you arrived?
(1 being not welcomed and did not feel comfortable and 10 being made to feel welcome and at ease)

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

3. On a scale of 1 to 10 how easy were the room instructions to follow?
(1 being extremely difficult and 10 being extremely easy)

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

4. What could we do to improve our waiting area?

Question Title

5. What could we do to improve our production rooms?

Question Title

6. On a scale of 1 to 10, did we respect your dignity and privacy?
(1 being very disrespectful to 10 being respectful)

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

7. On a scale of 1 to 10, what is your overall impression of Andrology service?
(1 being poor and 10 excellent)

Clear

i We adjusted the number you entered based on the slider’s scale.

Diagnostic Semen Analysis Questionnaire for ISO 15189 (4.14.3)

Question Title

* 1. Were you seen for your appointment on time?

Question Title

* 2. On a scale of 1-10, how helpful were the Andrology staff when you arrived?(1 being not welcomed and did not feel comfortable and 10 being made to feel welcome and at ease)

Question Title

* 3. On a scale of 1 to 10 how easy were the room instructions to follow?(1 being extremely difficult and 10 being extremely easy)

Question Title

* 4. What could we do to improve our waiting area?

Question Title

* 5. What could we do to improve our production rooms?

Question Title

* 6. On a scale of 1 to 10, did we respect your dignity and privacy?(1 being very disrespectful to 10 being respectful)

Question Title

* 7. On a scale of 1 to 10, what is your overall impression of Andrology service?(1 being poor and 10 excellent)

Question Title

* 8. Please use the space below to add any additional comments. Any suggestions for improvement will be reviewed and acted upon if at all possible.

1. Were you seen for your appointment on time?

2. On a scale of 1-10, how helpful were the Andrology staff when you arrived?
(1 being not welcomed and did not feel comfortable and 10 being made to feel welcome and at ease)

3. On a scale of 1 to 10 how easy were the room instructions to follow?
(1 being extremely difficult and 10 being extremely easy)

4. What could we do to improve our waiting area?

5. What could we do to improve our production rooms?

6. On a scale of 1 to 10, did we respect your dignity and privacy?
(1 being very disrespectful to 10 being respectful)

7. On a scale of 1 to 10, what is your overall impression of Andrology service?
(1 being poor and 10 excellent)

8. Please use the space below to add any additional comments. Any suggestions for improvement will be reviewed and acted upon if at all possible.