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Arizona State Public Health Laboratory Feedback Survey
Please take a few moments to answer questions about the Arizona State Public Health Laboratory (ASPHL). Your feedback can improve the effectiveness of laboratory services.
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* Indicates required question
What type of entity are you?
*
Hospital
Clinic
County
Governmental Laboratory
Non-governmental Laboratory
General Public
Other:
How did we help you today?
*
Your answer
Please rate the interactions you had with these services.
*
Poor
1
2
3
4
5
Excellent
Was the staff helpful?
Yes
No
Clear selection
Please elaborate on how the staff was or was not helpful.
Your answer
Do you have any questions or comments you would like ASPHL to address?
Your answer
Would you like to be contacted? If yes, please provide your name, phone, and/or email. If no, please put "N/A"
*
Your answer
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