Relationship Facility Questionnaire Complete this form and submit along with other requested self-assessment documentation to accreditation@aabb.org or fax to 301-657-0957. Activity performed by the facility: 1. Collection a. Do the employees of your facility manage the collection process? Yes ______ No ______ b. Do the employees of your facility perform sample collections? Yes ______ No ______ c. Yes ______ No ______ Do the employees of your facility schedule any remote collections? 2. Testing a. Which AABB accredited relationship testing lab(s) perform the testing for your facility? Name(s): ____________________________ 3. Verification a. Do the employees of your facility do any interpretation of the data received from the testing lab? Yes ______ No ______ b. Is the report prepared by the employees of your facility or by the AABB accredited lab? By employees of your facility ______ By the AABB accredited lab _______ c. Do the employees of your facility send the reports to the clients? d. Who handles customer service issues and questions about the report, your facility or the AABB accredited lab? Version 1 Yes ______ No ______ Your facility ______ The AABB accredited lab ______ Effective Date: 9/30/2013