I am a:*

Patient

Provider

I have personally taken a CDI diagnostic test:*

Yes

I have ordered a CDI diagnostic test for a patient:*

Yes

How was your overall experience with CDI?*

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Please rate your overall experience taking the test:

Difficult	Somewhat Difficult	Neutral	Somewhat Easy	Easy

Rate your ability to understand the instructions included in your test kit:

Difficult	Somewhat Difficult	Neutral	Somewhat Easy	Easy

What additional resource and/or customer service did you utilize while completing your test?

(Check all the apply)

Instructional Videos

Downloadable Guides

FAQs

Spoke to customer service rep

Emailed customer service

What is one thing we could do to improve our services?

Any other comments?

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How do you order test kits for your patients?

Online Form

Fax

Have Not Ordered

Please rate the overall ease of the following:

	Difficult	Somewhat Difficult	Neutral	Somewhat Easy	Easy	N/A
Ordering test kits
Instructing patients on how to take a test
Receiving test results
Interpreting test results

What is one thing we could do to improve our services?

Any other comments?

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