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Please tell us how we're doing - We want to know!
Med2U Healthcare Feedback and Survey
*
Indicates required field
Name
*
First
Last
Company
*
Address
*
Suite
*
City
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State
*
Zip
*
Email
*
Phone Number
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Fax Number
*
Which service(s) are you giving feedback on?
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Mobile Blood Draw Services
Mobile Imaging (X-Ray, Ultrasound, or EKG)
Instant PT/INR Services
Comment
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Please continue the feedback and complete our survey so we can better understand your needs - Thanks for your support!
Did you receive an order confirmation after sending us your order?
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Yes, Always
Most of the time
Sometimes
Rarely
No, Never
N/A - Not applicable to me
Was the ordered service provided to your patient in a timely manner?
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Yes, Always
Most of the time
Sometimes
Rarely
No, Never
N/A - Not applicable to me
Did you receive a confirmation report after the service was completed?
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Yes, Always
Most of the time
Sometimes
Rarely
No, Never
N/A - Not applicable to me
Was the customer service representative available to take your call?
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Yes, Always
Most of the time
Sometimes
Rarely
No, Never
N/A - Not applicable to me
Was the customer service representative able to answer your questions?
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Yes, Always
Most of the time
Sometimes
Rarely
No, Never
N/A - Not applicable to me
How would you rate the mobile blood draw service?
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Excellent
Good
Ok
Needs Improvement
Terrible
N/A - Haven't used this service
How would you rate the Mobile X-ray, Ultrasound or EKG services?
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Excellent
Good
Ok
Needs Improvement
Terrible
N/A - Haven't used this service
How would you rate the Laboratory results turn-around-time?
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Excellent
Good
Ok
Needs Improvement
Terrible
N/A - Haven't used this service
You are sending Med2U Healthcare _______ of your Mobile Laboratory referrals:
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All
Most
Some
Few
None
N/A - Haven't used this service
How likely is it that you would recommend Med2U to a friend or colleague?
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Very Likely
Most Likely
Maybe
Not Very Likely
Never
N/A - Not applicable to me
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