Sample Evaluation Form

Receiving feedback from researchers about our products and technology is very important to us. Your comments provide us with critical information to improve our products and better meet your needs. We appreciate you taking the time to complete this form and share your thoughts with us.

By completing this form, you can give input into product development and improvements plus your name will also be entered into our monthly drawing for a $150 MO BIO Gift Certificate. This certificate can be used as a $150 credit towards the purchase of any MO BIO products. Winners are notified by email.

Name:

Institution:

Address 1:

Address 2:

City

State

Zip:

Country:

Phone:

Fax:

E-Mail:

1. Which sample kit did you receive from MO BIO Laboratories?

Sample Name

Catalog Number

2. What applications are you performing with this kit?

3. Was the protocol easy to follow? Were any steps difficult to understand?

4. Did the kit perform as you expected? Were you satisfied with the end result? If not, why?

5. What features of this kit were most valuable to you? Least valuable?

6. What, if anything, would make this a better kit?

7. Would you purchase this kit in the near future? If NO, why not?

8. What product(s) are you currently using for this type of application? Please list supplier, name of kit and catalog number if available.

9. Would you like a MO BIO representative to contact you?

Yes No

Name:
Institution:
Address 1:
Address 2:
City
State
Zip:
Country:
Phone:
Fax:
E-Mail: