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 unit:

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

3.	*Which reason for purchasing EVOS best fits your situation? (check all that apply)
	Replaced a working traditional inverted microscope with EVOS Supplemented a working traditional inverted microscope with EVOS Acquired EVOS due to the need for a new/additional inverted microscope

4.	*Please rate your level of satisfaction with the following features: (strongly dissatisfied.........strongly satisfied)
	1 2 3 4 5 Ergonomics Image Quality Ease-of-use Overall Quality

5.	*How easy did you find it to learn the EVOS user interface? (very difficult.........very easy)
	1 2 3 4 5
	Did you receive training from sales staff or tech support on how to use the EVOS? Yes No
	If yes, were you satisfied with the training? (strongly dissatisfied.........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?
	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 is easier to use than a traditional microscope. (strongly disagree.........strongly agree)
	1 2 3 4 5

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

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

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

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

Choose gift: $15 Amazon.com online gift certificate $15 Barnes & Noble online gift certificate $15 Cabela’s online gift certificate $15 Bath & Body Works online gift certificate