Coagulation Analyzer Survey

1)

Please indicate which coagulation tests are performed in your laboratory:: Routine coag tests only Special coag tests only Routine coag and special coag tests None

2) What is your primary coagulation analyzer

3)

Does your lab have a back-up instrument?: Yes No

If yes, which one?

4)

Do you perform special coag tests on your back-up analyzer?: Yes No

5)

How long has your current coag instrument been in your lab?: Less than 6 months 6 months to 2 years 2 years to 4 years More than 4 years

6) What instrument did you previously use?

7)

Did you outright purchase the instrument or do you have a reagent rental agreement?: Outright Purchase Reagent Rental Instrument Lease Other

Other

8)

If you are under a contract, which best describes the contract:: Instrument Only Instrument + Routine Assay Reagents Instrument + Routine Assay Reagents + Special Coag Assay Reagents

9a)

9b)

9c)

9d)

9e)

9f)

in-person meetings with sales representative before and after purchase: Not Important Somewhat Important Important Very Important Extremely Important

9g)

in-person meetings with instrument representative before and after purchase: Not Important Somewhat Important Important Very Important Extremely Important

9h)

open system capabilities - ability to use tests and reagents from other vendors: Not Important Somewhat Important Important Very Important Extremely Important

9i)

9j)

10)

Do you intend to purchase a new coagulation analyzer within the next year?: Definitely Not Probably not Maybe Most likely, if there is room in the budget Definitely Yes

Coagulation Analyzer Survey

1)

2) What is your primary coagulation analyzer

3)

If yes, which one?

4)

5)

6) What instrument did you previously use?

7)

Other

8)

9a)

9b)

9c)

9d)

9e)

9f)

9g)

9h)

9i)

9j)

10)

Name*

Position*

Company/Institution*

Address*

Address2

City*

State/Province*

Zip/Postal Code*

Phone*

Email*

Number of Beds*

Comments