Questionnaire for the end user

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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
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