Patient Satisfaction Survey 

To ensure that our patients are receiving the highest quality medical care, please take a moment to complete the survey below.  Your feedback allows us the opportunity to continuously improve in our efforts and service offering

Note: * indicates a required field

Would you like someone to contact you in follow-up to this survey?

If you are requesting a follow-up, please select your preferred method of communication:

Please indicate your level of agreement with the following statements based on your recent experience with Vitalant.

Scale (applies to all questions below):
1 = Strongly Disagree
2 = Disagree
3 = Neutral
4 = Agree
5 = Strongly Agree

*The Apheresis Nurse was courteous and Professional .

*The nurse explained the procedure, and I had clear understanding.

*I felt confident with the nurse’s knowledge and ability. 

*All my questions and concerns were answered .

*Overall, my apheresis experience was positive .

*How likely are you to recommend Vitalant’s apheresis team and services to a friend or colleague? (0 = Not at all likely; 10 = Extremely likely)