Patient Survey

Customer Service Survey

Your feedback helps us improve. This short survey takes less than a minute and tells us how we are doing.
Thank you for visiting BML. We are committed to giving you accurate results, quick service, and a warm professional experience. Please share how your visit went — every response is read by our Quality team.
Your Visit
Date of your visit

DayMonthYear
Type of service
Which location did you visit?

Other
Rate Your Experience
How was the reception service?

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10

1 is Worst, 10 is Best
How was the phlebotomy / sample collection?

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1 is Worst, 10 is Best
How was the timeliness of your service?

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1 is Worst, 10 is Best
How was your overall experience?

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1 is Worst, 10 is Best
Would You Recommend Us?
How likely are you to recommend Bonaventure Medical Laboratory?

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1 is Worst, 10 is Best
How Did You Find Us?
Who or what referred you to BML?
If a doctor referred you, what is their name?
Tell Us More
Comments, suggestions, or compliments
A person you want to commend in particularly?
About You · Optional
Everything below is optional. Sharing a little about yourself helps us see who we serve and improve services for different communities. Leave any field blank — your survey is still valid and anonymous unless you choose to share contact details.
Age range
Name (optional)

First NameLast Name
Phone number

Area CodePhone Number
What email can we contact you on? (optional)
example@example.com
Are you open to a follow-up call about your feedback?
May we email you occasional updates and promotions?
Should be Empty:

Customer Service Survey

Your Visit

Rate Your Experience

Would You Recommend Us?

How Did You Find Us?

Tell Us More

About You · Optional