Radiological Needs Questionnaire

Please fill out the form below, or if you prefer, download the pdf version here
and fax it to us at 905-826-4151. Click here if you need Adobe Acrobat Reader.

Radiological Needs Questionnaire

Company Name:

Contact Name:

Address:

City:

Province/State:

Postal Code/Zip Code:

Phone:

Ext:

Fax:

e-Mail Address:

Please answer the questions below to help us understand your needs:

1. Who are the key stakeholders and what are their concerns?

2. What are the relevant facts e.g. site history, previous studies (validity)?

3. What are the analytes of concern? What are the detection limits?

4. What is the matrix?

5. What are the regulatory requirements?

6. Are there any sampling constraints?

7. What is the sampling schedule and frequency?

8. Additional information, e.g. deadlines?

or