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Please type responses here: |
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First name:
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Last name:
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Email Address:
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Retype Email Address:
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Phone number:
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Company Name:
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Job title:
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Business/Facility Address:
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Business/Facility Address 2:
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City:
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State:
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Country:
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Zip/Postal Code:
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Do you work in a:
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Physician Office Lab
Independent Office Lab
National Lab
Acute Care Hospital
Other
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If you answered ‘other’ in the question above, please elaborate:
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Please fill in the specialty or specialties your facility services:
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Who is your current quality control provider?
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Bio-Rad
Technopath
ThermoFisher Scientific
Other
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If you chose ‘other’ above, please list your current quality control provider:
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Are you currently satisfied with your quality control provider?
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Yes
No
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What is the most important factor you are looking for in a third-party control?
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Consolidation
Cost
Quality of results
Reducing waste
Reducing reordering
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Yes, I acknowledge that Thermo Fisher Scientific Inc. and suppliers will process my provided information and that I may receive communications
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