First Name* :		Last Name* :
Organization* :
E-mail* :
EVOS serial number* :	(Tilt LCD screen back; serial label is on the hinge.)

1. *Please describe the application for which you are using the EVOS fl unit:

2.	*How did the pricing of EVOS fl fit with your expectations?
	Less expensive than expected Priced as expected More expensive than expected

3.	*Which reasons for purchasing EVOS fl best fit your situation? (check all that apply)
	Replaced a working traditional inverted microscope with EVOS fl Supplemented a working fluorescence microscope with EVOS fl Acquired EVOS fl due to the need for a new/additional inverted microscope Added fluorescence capability to lab

4.	*Please rate your level of satisfaction with the following features:
	(1 = strongly dissatisfied........ 5 = strongly satisfied) 1 2 3 4 5 Ergonomics Fluorescence Image Quality Phase-Contrast Image Quality Ease of Use User Interface Overall Quality

5.	*How easy did you find it to learn the EVOS fl user interface?
	(1 = very difficult... 5 = very easy) 1 2 3 4 5
	Did you receive training from sales staff or tech support on how to use the EVOS fl? Yes No
	If yes, were you satisfied with the training? (1 = strongly dissatisfied... 5 = strongly satisfied) 1 2 3 4 5
	If no, would you have liked to receive any training? Yes No

6.	*How often do you use the EVOS fl?
	0 1 2 3 4 5 6 7 8 9+ hours per day week month

7.	*How often do you use a traditional microscope for the same type of work?
	0 1 2 3 4 5 6 7 8 9+ hours per day week month

8.	*EVOS fl is easier to use than a traditional fluorescence microscope. (strongly disagree.........strongly agree)
	1 2 3 4 5

9.	*Does EVOS fl meet your needs for your applications?
	All Most A Few None

10.	*Would you recommend EVOS fl to a colleague?
	Yes Maybe No

11.	*How did you learn about EVOS fl? (check all that apply)
	Search engine Trade show E-mail notification Word of mouth/referral Sales rep Advertisement

12.	*What LED light cubes or other features would you like to see us add in the future?

13.	Would you like to share any additional comments about EVOS fl?

Note: Only one gift is available for each valid EVOS fl serial number.

Choose gift: $50 Amazon.com online gift certificate $50 Barnes & Noble online gift certificate $50 Cabela’s online gift certificate $50 Bath & Body Works online gift certificate