Your name
Your email
Number
Location:
Enter Home Collection Date:
1. Did the Phlebotomist reach on scheduled time? YesNo
2. Was the phlebotomist efficient and able to answer all your queries? YesNo
Rating:
Test Center Visit Date:
1. How long was the waiting time before drawing blood? 0–5 minutes5–15 minutes15–30 minutes>30 minutes
2. Was the Registration procedure convenient and pretest information confirmed? YesNo