Metrology Laboratory Customer Satisfaction Feedback Form

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* 1. Please indicate the type of calibration performed. If you are not sure, please select the closest you think it might be (you may choose more than one). You may also describe your particular calibration in the comments section.

Mass III (Average)

Mass II (Fine)

Mass I (Extra Fine)

Volume (Transfer)

Gravimetric Volume (mass comparison)

Linear Tape

Other (please specify)

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* 2. Was the calibration performed to meet a licensing requirement?

Yes

No

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* 3. Rate each statement below from positive to negative as it applies to your experience at the lab

	Very Positive	Positive	Neutral	Negative	Very Negative	N/A
The calibration was performed within my requested turn around time.	The calibration was performed within my requested turn around time. Very Positive	The calibration was performed within my requested turn around time. Positive	The calibration was performed within my requested turn around time. Neutral	The calibration was performed within my requested turn around time. Negative	The calibration was performed within my requested turn around time. Very Negative	The calibration was performed within my requested turn around time. N/A
The process of contacting the laboratory to schedule my calibration was easy.	The process of contacting the laboratory to schedule my calibration was easy. Very Positive	The process of contacting the laboratory to schedule my calibration was easy. Positive	The process of contacting the laboratory to schedule my calibration was easy. Neutral	The process of contacting the laboratory to schedule my calibration was easy. Negative	The process of contacting the laboratory to schedule my calibration was easy. Very Negative	The process of contacting the laboratory to schedule my calibration was easy. N/A
The laboratory personnel explained the procedure clearly at the time of my calibration request.	The laboratory personnel explained the procedure clearly at the time of my calibration request. Very Positive	The laboratory personnel explained the procedure clearly at the time of my calibration request. Positive	The laboratory personnel explained the procedure clearly at the time of my calibration request. Neutral	The laboratory personnel explained the procedure clearly at the time of my calibration request. Negative	The laboratory personnel explained the procedure clearly at the time of my calibration request. Very Negative	The laboratory personnel explained the procedure clearly at the time of my calibration request. N/A
The staff was courteous in my dealings with them.	The staff was courteous in my dealings with them. Very Positive	The staff was courteous in my dealings with them. Positive	The staff was courteous in my dealings with them. Neutral	The staff was courteous in my dealings with them. Negative	The staff was courteous in my dealings with them. Very Negative	The staff was courteous in my dealings with them. N/A
The laboratory handled my items with care.	The laboratory handled my items with care. Very Positive	The laboratory handled my items with care. Positive	The laboratory handled my items with care. Neutral	The laboratory handled my items with care. Negative	The laboratory handled my items with care. Very Negative	The laboratory handled my items with care. N/A
My items were shipped back to me adequately secured and packaged.	My items were shipped back to me adequately secured and packaged. Very Positive	My items were shipped back to me adequately secured and packaged. Positive	My items were shipped back to me adequately secured and packaged. Neutral	My items were shipped back to me adequately secured and packaged. Negative	My items were shipped back to me adequately secured and packaged. Very Negative	My items were shipped back to me adequately secured and packaged. N/A
The calibration report(s) met the specifications I requested.	The calibration report(s) met the specifications I requested. Very Positive	The calibration report(s) met the specifications I requested. Positive	The calibration report(s) met the specifications I requested. Neutral	The calibration report(s) met the specifications I requested. Negative	The calibration report(s) met the specifications I requested. Very Negative	The calibration report(s) met the specifications I requested. N/A
The uncertainties were satisfactory for my tolerance requirements.	The uncertainties were satisfactory for my tolerance requirements. Very Positive	The uncertainties were satisfactory for my tolerance requirements. Positive	The uncertainties were satisfactory for my tolerance requirements. Neutral	The uncertainties were satisfactory for my tolerance requirements. Negative	The uncertainties were satisfactory for my tolerance requirements. Very Negative	The uncertainties were satisfactory for my tolerance requirements. N/A
The information supplied in the calibration report was easy to understand.	The information supplied in the calibration report was easy to understand. Very Positive	The information supplied in the calibration report was easy to understand. Positive	The information supplied in the calibration report was easy to understand. Neutral	The information supplied in the calibration report was easy to understand. Negative	The information supplied in the calibration report was easy to understand. Very Negative	The information supplied in the calibration report was easy to understand. N/A
The format of the calibration report is satisfactory.	The format of the calibration report is satisfactory. Very Positive	The format of the calibration report is satisfactory. Positive	The format of the calibration report is satisfactory. Neutral	The format of the calibration report is satisfactory. Negative	The format of the calibration report is satisfactory. Very Negative	The format of the calibration report is satisfactory. N/A
I will use the laboratory services again in the future.	I will use the laboratory services again in the future. Very Positive	I will use the laboratory services again in the future. Positive	I will use the laboratory services again in the future. Neutral	I will use the laboratory services again in the future. Negative	I will use the laboratory services again in the future. Very Negative	I will use the laboratory services again in the future. N/A
The calibration results were explained to my satisfaction.	The calibration results were explained to my satisfaction. Very Positive	The calibration results were explained to my satisfaction. Positive	The calibration results were explained to my satisfaction. Neutral	The calibration results were explained to my satisfaction. Negative	The calibration results were explained to my satisfaction. Very Negative	The calibration results were explained to my satisfaction. N/A

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* 4. Other comments or suggestions on improving the Metrology Lab (optional):

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* 5. Additional services I would like the laboratory to offer (please list):

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* 6. Optional Contact Information

Company/Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address: