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FEED BACK QUESTIONNAIRE Diet

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FEED BACK QUESTIONNAIRE Diet Powered By Docstoc
					Dear Colleagues/Customers:



You have been using our (Animals/diets, blood and blood products) from our facilities

for the past few years and we wish to know from you, how we have been helpful

to you in your research needs and whether we need to fine tune further to carry out

our tasks to the best of your satisfaction.


So enclosed please find herewith a questionnaire and please fill up and return the same

to me back by June 30th. We will definitely appreciate this

small gesture from you and believe me this is only meant to do a self evaluation and to

improve our current management system to serve you better.


Please co-operate in this endeavour and we assure you better service in return!


I repeat the last date for sending the filled questionnaire is June 30th. You may also reply
online logging on our website (www.ninindia.org) and post your filled questionnaire to our
official id: nclas123@yahoo.com



Thanks and Happy filing!



Dr.N.V.Giridharan
                        FEED BACK QUESTIONNAIRE

                                   PERSONAL DATA



Name of the organization                                 : Govt. /Private


If Govt.                                                 : Research Institute/University/Any other (Specify)

If Research Institute                                : ICMR/ICAR/DBT/DST/Any other (Specify)

If University (Give name of the dept. and name           :
of University)

 If Private                                              :

Contact Address                                          :      ________________________________

(State and Pin code compulsory)                                _________________________________

                                                               __________________________________



Phone                                                    :

 Fax                                                  :

E mail                                               :

 Contact person with designation                     :

 Requirement                                         : Animal/Diet/Blood and Blood products

 If animal                                           : Give strain or strains

                                                             Mouse -

                                                             Rat        -

                                                             Hamster -

                                                             Guinea Pig -

                                                             Rabbit -

                                                             Monkey -

 If diet                                         :           Mouse/Guinea Pig/Rabbit -

 If blood and blood products                     :           Mouse/Rat/Hamster/G.pig/Rabbit -

 How did you hear about our organization             :        Internet/Others/Any other
Animal data:

  1. How long you have been taking animals from us (year/month) :

  2.   Number of animals obtained so far (give approx no.)

       (Attach sheet if necessary)                                 Mouse (strain)

                                                                   Rat       (strain)

                                                                   Hamster

                                                                   G.Pig

                                                                   Rabbit


  3. Number of projects in which the animals are used             : Give details of the project as an
                                                                    appendix at the end)


  4. Number of papers published using the animals             :        Give details of papers as an
      supplied by us                                                    appendix at the end



  5. Number of Preclinical reports prepared using animals :            (Give details as separate
     supplied by us                                                     annexure)

  6.   Number of drugs/products tested using our animals           : (approx.)

  7. Are you satisfied with our supply?                           :(If no give your comments on your
                                                                     Dissatisfaction)


  8. Any skills (surgery, animal manipulation learned using        : (Give details)
     the animals)?


  9. Any comments/suggestion on the supply of animals              :




   * Tick wherever necessary

   * Wherever not applicable write NA
Blood and blood products:

1. How long you have been receiving blood and blood
   Products from us                                    :

2. Amount of blood/blood products obtained so far?     :       Mouse             Rat
   (approx.)

                                                               Hamster            Rabbit


                                                               Monkey            Sheep

3. Number of projects or experiments in which the      :       (give details as appendix at
   an blood or blood products used                              the end)



4. Number of papers published using blood or blood     : (give details as an appendix at
                                                           Products the end)


5. Number of technical reports published using blood   : (give details as an appendix
   or blood products                                      at the end)



6.   Number of drugs or products tested using our          : (give details as an appendix
     Material                                                 at the end)




7.   Any comments/suggestions                              :




Write NA wherever not applicable.
FEED DATA:



1. How long you have been taking diet from us               :
   (Years or months)

2. Quantity of diet obtained so far (Give approx.)          :

1. Number of projects in which the diet has been used :         (give details as appendix at the end)


4. Number of papers published using the diet supplied   :       (give details of papers as a separate
   by us                                                          sheet)

4. Number of technical reports prepared using our       :        (give details as an appendix at the
   Animal diet                                                    end)

5. Number of drugs/products tested using our diet           :    (give details at the end as an
                                                                 appendix)

5. Any skills learned                                   :        (surgery/animal manipulation)
   using our diet

8. Any comments                                             :    suggestions towards supply of diet



   * Write NA wherever not applicable

				
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Description: FEED BACK QUESTIONNAIRE Diet