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.
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)
1
5
10
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)
1
5
10
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)
1
5
10
7.On a scale of 1 to 10, what is your overall impression of Andrology service?
(1 being poor and 10 excellent)
1
5
10
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.
Current Progress,
0 of 8 answered