Infectious Diseases Survey for 2017 | Thermo Fisher Scientific

Take our infectious diseases survey and receive a free microbiology laboratory notebook

If your lab focuses on infectious diseases testing or research, we would like to learn more about it so we can provide the best products and services to suit your laboratory’s needs. Please take our survey and as a thank you, we will send you a free microbiology-themed notebook to use in your laboratory.**
This survey includes eight questions and should take less than 5 minutes.

Please note; Healthcare Professionals will not receive any promotional item as a result of this form submission.

* Required field

First Name

Last Name

Name of Institution

Telephone

Street Address

PO Box

City

State

Postal Code/Zip

Job Role

1. Is your infectious diseases laboratory mainly focused on research or diagnostic? (Select all that apply)

Research

Diagnostic testing–IVDs

Diagnostic testing–Lab developed tests (LDTs)

2. How would you classify your infectious diseases laboratory?

Hospital/Clinical Laboratory

Reference Laboratory/Routine Diagnostic Testing

Public Health Laboratory

Vector Screening Laboratory

Epidemiology Research Laboratory

Metagenomics Research Laboratory

General Microbiology Research Laboratory

Other (please specify)

If other, please specify

3. Which technologies/techniques are you using in your laboratory? (Select all that apply)

Next-Generation Sequencing (NGS)

Sanger Sequencing/Capillary Electrophoresis

Real-time PCR/qPCR

Digital PCR

Microarray

Culture/Microscopy

Immunopathology

ELISA

PCR

4. What types of sample does your laboratory analyze? (Select all that apply)

Human only

Livestock

Domestic animals

Mosquito vector screening

Other (please specify)

If other, please specify

6. How many infectious disease samples does your laboratory process on a daily basis?

1–10 samples

11–50 samples

51–100 samples

101–500 samples

501–1,000 samples

1,001–5000 samples

5000+

8. Do you outsource any of your infectious diseases testing to external laboratories?

Yes

If yes, which specific tests do you outsource? (Enter the name of the test in each field below)

I warrant that I am not a healthcare professional and that I am not prohibited by employment, contract, law, regulation, or any applicable professional code of conduct from accepting a gift from Life Technologies.

Yes, I wish to receive communication via telephone, email, or other electronic means on Life Technologies™ goods and services.

* No purchase necessary. This promotion is available only to life science professionals 21 years or older in the US (excluding Puerto Rico), Canada, Australia, New Zealand, Singapore, Taiwan, Thailand, Malaysia, Indonesia, Pakistan, Bangladesh, Vietnam, Philippines, Sri Lanka, Cambodia, Brunei, Myanmar, New Caledonia, Papua New Guinea, Laos, Maldives, Mongolia, Nepal, South East Asia, Hong Kong, India, Brazil, Argentina, Paraguay, Uruguay, Peru, Chile, Bolivia, Mexico, Venezuela, Colombia, Ecuador, the Guianas, Suriname, French Guiana, Panama, Costa Rica, Nicaragua, El Salvador, Guatemala, Honduras, Belize, and China, who are able to submit a completed survey. Health care professionals may not participate in this promotion. Completed surveys must be received by Life Technologies no later than June 30, 2017, or until gift supplies are depleted, whichever comes first. The estimated value of notebook is $5.60 USD. By submitting a survey, you warrant that you are not prohibited by employment, contract, or law from accepting a gift from Life Technologies. One gift per person. Offer void where prohibited, licensed, or restricted by federal, state, provincial, or local laws or regulation.