Name *
Title *
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Department
Address *
City *
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Country *
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Telephone
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Instrument name *
Instrument serial number
Instrument catalog number
Heating device serial number *
Is your lab a commercial testing facility? *
- Select - Yes No
Is your lab a regulatory testing facility? *
- Select - Yes No
If other, please specify
If other, please specify
How often do you use Organomation's equipment? *
- Select - Daily Weekly 2-3 times weekly Monthly Seasonally/project based Other
If other, please specify
Do you evaporate to dryness? *
- Select - Yes No
What type of methodologies do you use? *
- Select - USGS EPA FDA AOAC EPH Other
Method number or other *
Is this your first time using Organomation equipment? *
- Select - Yes No
If no, have you ever had to repair or service our equipment? *
- Select - Yes No
Have you used other nitrogen evaporators? *
- Select - Yes No
If other, please specify
Which model(s) have you used?
Do you use the equipment in a fume hood? *
- Select - Yes No
How many fume hoods do you have in your lab? *
- Select - 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
How often do you work with acidic or corrosive chemicals with evaporation equipment? *
- Select - Daily Weekly Monthly Yearly Never Other
If other, please specify
How many people work in your lab? *
- Select - <10 10-15 15-20 20-25 25-30 >30
How many people work for your company? *
- Select - <10 10-15 15-20 20-25 25-30 >30
Did you purchase this equipment directly from Organomation or through a distributor? *
- Select - Directly Distributor
If a distributor, which one?
How do you primarily purchase lab equipment? *
- Select - Directly Distributor
How did you learn about our equipment? *
- Select - Referred by colleague Social media Search engine Convention/conference Method (EPA, FDA, etc.) Referred by supplier I used Organomation equipment in another lab I have Organomation equipment in my lab Other
Learned explanation
