Newborn Screening Feedback Survey Form
Please share your feedback about your experience with the newborn screening process. Your responses help us improve our services.
How satisfied were you with the overall newborn screening process?
*
1
2
3
4
5
How clearly was the purpose of the newborn screening explained to you?
*
Not clear at all
1
2
3
4
Extremely clear
5
1 is Not clear at all, 5 is Extremely clear
How easy was it to schedule or access the newborn screening?
*
Very difficult
1
2
3
4
Very easy
5
1 is Very difficult, 5 is Very easy
How professional and courteous was the staff during the screening?
*
Not at all
1
2
3
4
Extremely
5
1 is Not at all, 5 is Extremely
Did you feel you had enough opportunity to ask questions about the screening?
*
Yes
Somewhat
No
How comfortable did your newborn seem during the screening?
*
Not comfortable
1
2
3
4
Very comfortable
5
1 is Not comfortable, 5 is Very comfortable
How timely were the results of the screening provided to you?
*
Very delayed
1
2
3
4
Very prompt
5
1 is Very delayed, 5 is Very prompt
How well were the results explained to you?
*
Not explained at all
1
2
3
4
Extremely well
5
1 is Not explained at all, 5 is Extremely well
Would you recommend our newborn screening services to others?
*
Definitely
Probably
Not sure
Probably not
Definitely not
Please share any additional comments or suggestions about your experience.
Submit Feedback
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