AmeriSci Bio-Chem Client Feedback Form

We've developed this survey as a crucial tool for us to gauge your satisfaction as well as to highlight areas of improvement in our overall service to you. Ultimately, it's through your candid feedback that we can become a better service provider. Please help us achieve this by taking just a few minutes to complete this feedback form. It will truly make a difference.

Thank you

Have you used any of AmeriSci BioChem's services during the last 12 months? Yes No
If yes, please select any of the services you've used: Environmental Microbiology (cultures, tapes, sporetraps, etc) Food Safety testing Water Microbiology Molecular Biology (DNA Sequencing, PCR) Other (Please Specify):

Which AmeriSci BioChem location did you use?

How would you rate the following for AmeriSci Bio-Chem?
(5=Excellent, 4=Very Good, 3=Average, 2=Poor, 1=Very Poor)

Area	5	4	3	2	1
Accessibility (Easy to contact, location)
Competence and skill of staff
Ability to complete tasks on time
Courteousness of staff
Other Comments (Please provide any comments or suggestions):

If you would like, provide your name and contact information (optional):

Name:
Contact Information:
	(e-mail address, phone, fax, etc.)