Your feedback is important to us. If you wish to comment on the testing services, products or customer service you received from SiREM please complete the form below.
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Date*
Name of Organization*
Contact Person(s)*
Email Address*
Telephone*
Services / Products Provided*---Bioaugmentation CulturesTreatability StudyGene-TracSP3SPeeperPFASsiveWaterloo Membrane SamplerAntimicrobial TestingAnalytical TestingOther
If Other, please indicate
SiREM Reference Number for Testing Services (If applicable)
Ratings [0 – poor] [1 – not to expectation] [2 – average] [3 – good] [4 – excellent] N/A [Not applicable]
1. Please rate the overall quality of the products or services you received
01234N/A
2. Timeliness of test reporting and/or product delivery
3. Appearance and clarity of laboratory reports
4. Availability and willingness of staff to assist with questions
5. Did we effectively deal with queries related to the products or services provided?
6a. Have you previously reported a problem to SiREM?
6b. If yes, did appropriate corrective action take place?
7. If you were pleased with your experience, in which areas did SiREM excel?
8. How can we improve our testing services, products and customer support?
9. Any additional comments or recommendations?
