Questionnaire feedback for AmpliSens® customers Dear users of AmpliSens® kits! We care about the quality of AmpliSens® products and make maximum efforts for further improvement and development of new products. Your suggestions for improving our products and suggestions on the new developments are very important for us. Filling in the form will take you a few minutes, but it will help us to meet your expectations from using AmpliSens® products. Please send us the filled form via e-mail cs@ilslab.ru or fax +7 (495) 664-28-89 Customer Information Company name*: Country*: City*: Name of contact person*: Contact phone*: General opinion about AmpliSens® products Please rate the following characteristics of AmpliSens® products (“+” is for positive, “-“ is for negative): …. 1. To what extent do AmpliSens products meet the requirement of your laboratory – the convenience of procedures, the format of reagents, the range of PCR kits, etc.: + Comment (in case of negative rate) - ___________________________ 2. Quality of PCR kits – stability from series to series, the quality of control samples, correlation with the results of other methods: 3. Availability and quality of AmpliSens customer support: ___________________________ __________________________ 4. Are all your purchase requests processed and deliveries carried out in suitable time? 5. Composition conformity of the PCR kits to the actual list and actual reagents volume of PCR kits: ___________________________ __________________________ 6. Completeness and simplicity of information presented in PCR kit manuals: __________________________ 7. Do AmpliSens® product prices fit into your budget? __________________________ What recommendations would you offer for product improvement and new AmpliSens PCR kits development? Please indicate if there was some injury of PCRlaboratory staff, patients, third persons or damage of equipment or environment during using of AmpliSens PCR kits. Wishes (what could be improved according to the customer): Gratitude (for individual employees): ___________________ Date ____________________ Signature