Customer Satisfaction Survey

1. What was your main reason for utilizing Signature Genomic Laboratories?
   Reputation
   Referral
   Quality of Services
   Quantity of Services
   Other
2. How did you hear about Signature Genomic Laboratories?
   Referral
   Web
   Contact by Sales Rep
   Conference
   Advertisement
   Other

Please tell us how much you agree or disagree with the following statements:

3. Able to quickly find forms and information needed to order a test.
   Strongly Agree Agree Undecided Disagree Strongly Disagree
4. Test results received for my patient in a satisfactory amount of time.
   Yes No
5. Quality and clarity of report received for my patient's test results was satisfactory.
   Strongly Agree Agree Undecided Disagree Strongly Disagree
6. When contacting Signature regarding my patient's sample/results
   the Signature employee was knowledgeable.
   Strongly Agree Agree Undecided Disagree Strongly Disagree
7. When contacting Signature regarding my patient's sample/results
   the Signature employee was courteous.
   Strongly Agree Agree Undecided Disagree Strongly Disagree
8. Overall how would you rate your satisfaction with the services you received?
   Outstanding Good Fair Poor Unsure
9. Would you utilize Signature Genomic Laboratories again for microarray services?
   Why or why not?
   
10. Do you have suggestions for improvement of our support or services?
    
11. Would you like to be contacted about your experience?
    No
    Yes; contact information:
    Please identify a contact person you would like us to work with in the future
    Name:
    Phone:
    Fax: