Metrology Customer Satisfaction Survey
Please DO NOT include any personal, confidential, and/or sensitive information in your responses on this form (e.g. social security number, credit card information, health information, account number, etc.).
Type of calibration service performed by our laboratory
Validate Calibration Service"
Precision Mass – Weights ASTM Class 1 to 4 (OMIL Class E1 – F2)
Small Mass – Weights =< 10 lb (5 kg)
Medium Mass – Weights 20 lb to 250 lb (10 kg to 100 kg)
Large Mass – Weights => 500 lb (200 kg)
CNG
LNG
Small Volume – Capacity =< 5 gal (20 L)
Large Volume – Capacity > 5 gal (20L)
LPG Volume – Capacity 25 gal to 100 gal
Type of device that will be tested with the standards calibrated by our laboratory
Validate Mass & Weights"
Mass/Weights
Class I & II scales
Retail computing scales
Small capacity scales <= 300lb
Medium capacity scales <= 3,000lb
All capacity scales
Mass flow meters
Volume
Retail fuel dispensers (gpm <= 20 gal)
Retail fuel high flow (gpm > 20 gal)
Bulk fuel meters (gpm >= 50 gal)
Agri chemical meters
LPG Meter
NH3 meters
CNG
LNG
Rate each statement as it applied to your experience at the lab. 5 being the best and 1 being worst in rating
Laboratory staff explained services offered, scheduling availability and program cost
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1
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5
Suggestions for improvement
Text Box 2
Staff Suggestion"
Information presented on Certificate of Test is easy to comprehend and material flowed in logical order
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1
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4
5
Suggestions for improvement
Text Box 3
Information Presented Suggestion
Calibration service performed in a timely manner?
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1
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4
5
Suggestions for improvement
Text Box 4
Calibration Service Suggest
Unusual calibration results were explained to my understanding?
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1
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5
Suggestions for improvement
Text Box 5
UnsualCalibrationSuggestion
Shipping and/or return process of calibrated items was timely and according to agreed arrangements?
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Yes
No
Reason
TextBox11
Shipping Process Reason
Comments for improvement of services provided
Shipping Process Comments
Were you satisfied with overall calibration process?
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Yes
No
Reason
TextBox 6
WereCompanyReturnReason
Comments for improvement of services provided
WereCompanyReturnComments
Would your company return to this laboratory for future services?
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Yes
No
Reason
TextBox 7
WouldCompanyReturnReason
Comments for improvement of services provided
Would Company Return Comments
Contact Last Name
LastName
Contact First Name
FirstName
Company Name
Company Name
E-mail Address
Confirm E-mail Address
email and confirm email do not match
Signature
I certify this information is factual to the best of my knowledge
Legal Name
*
Date 03/29/2024
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