Phlebotomy Services Survey Please take a moment to complete our online survey. Thank you for your time, we appreciate your valuable feedback! Patient Name Patient Phone Number Patient E-mail Address Please Contact Me Yes No About Your Visits Approximately how long have you been using the services provided by the Phlebotomy Dept. at RPCI? - None -First VisitUnder One YearOne to Three YearsThree to Five YearsOver Five Years How often is your blood work required? - None -Not Sure, First VisitEvery WeekEvery Two to Four WeeksEvery Couple MonthsOnce Per YearVaries Do you have confidence in the professional & technical abilities of our phlebotomists? - None -ConsistentlyVaries on Each VisitNot Sure How would you compare the wait time at RPCI to other phlebotomy/lab services you have utilized? - None -About the SameGenerally, Quicker Service than MostGenerally, Slower Service than MostNot Sure Quality, Professionalism and Confidentiality Do you find our phlebotomists to be competent in explaining the collection process for your tests? - None -Competent and ConsistentVaries on Each VisitNot CompetentNot Sure Do you feel our phlebotomists treat you in a courteous and professional manner with attention to customer service? - None -ConsistentlyVaries on Each VisitNot Sure Do you feel the room used for your blood draw is comfortable and provides adequate confidentiality? - None -Comfortable and ConfidentialComfortable OnlyConfidential OnlyNeither Comfortable nor Confidential How satisfied were you with the cleanliness of the room where your blood was drawn? - None -Very SatisfiedSomewhat SatisfiedSomewhat DissatisfiedVery DissatisfiedNot Sure Are we able to meet your special needs (i.e. wheel chair access, vision, hearing, speech needs etc.)? - None -ConsistentlyVaries on Each VisitNever Would you like to share any additional feedback about our phlebotomy team? What could we do to improve your visits to the phlebotomy area?