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RNA Medical :: Survey
<!doctype html> <html> <head> <meta charset="utf-8"> <!-- standard viewport tag to set the viewport to the device's width , Android 2.3 devices need this so 100% width works properly and doesn't allow children to blow up the viewport width--> <meta name="viewport" id="vp" content="initial-scale=1.0,user-scalable=no,maximum-scale=1,width=device-width" /> <!-- width=device-width causes the iPhone 5 to letterbox the app, so we want to exclude it for iPhone 5 to allow full screen apps --> <meta name="viewport" id="vp" content="initial-scale=1.0,user-scalable=no,maximum-scale=1" media="(device-height: 568px)" /> <script async src="https://www.googletagmanager.com/gtag/js?id=UA-130119311-1"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'UA-130119311-1'); </script> <link rel="apple-touch-icon" href="//newrna.bionostics.net/iphonehomeicon.png"/> <link rel="stylesheet" href="//code.jquery.com/mobile/1.4.3/jquery.mobile-1.4.3.min.css" /> <link rel="stylesheet" type="text/css" href="/res/css/css.php?pg=srvy"> <script language="javascript" type="text/javascript" src="/res/js/jq.js"></script> <script language="javascript" type="text/javascript" src="/res/js/js.php?pg=srvy"></script> <script src="//code.jquery.com/mobile/1.4.3/jquery.mobile-1.4.3.min.js"></script> <script src='https://www.google.com/recaptcha/api.js'></script> <!-- Google Tag Manager --> <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-PBHVVBQ');</script> <!-- End Google Tag Manager --><title>RNA Medical :: Survey</title> </head> <body> <!-- Google Tag Manager (noscript) --> <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-PBHVVBQ" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript> <!-- End Google Tag Manager (noscript) --> <div id="pgframe"> <div id="ilo" style="visibility:hidden;position:absolute">0</div> <div id="head"> <div id="head"> <div id="hdglass"> <div id="hdbg1"> <div id="hdbg2"> <div id="hdbg3"> <div id="headgloss"> </div> </div> </div> </div> </div> <a href="/index.php" data-ajax="false"><span id="homelink"></span></a> <span id="headhomemnuitm"> <ul> <a href="/index.php" data-ajax="false"><li class="sel">Home</li></a> <hr /> </ul> </span> </div> </div> <div id="body"> <div id="c1" class="col"> <div id="menu"> <ul> <a href="/aboutus.php" data-ajax="false"><li class="sel">About RNA Medical</li></a> <hr /> <a href="/products.php?type=0" data-ajax="false"><li>Products</li></a> <hr /> <a href="/stats.php" data-ajax="false"><li>Statistical Services</li></a> <hr /> <a href="/inserts.php" data-ajax="false"><li>Inserts/SDS</li></a> <hr /> <a href="/pricelist.php" data-ajax="false"><li>2024 Price List</li></a> <hr /> <a href="/orderinginfo.php" data-ajax="false"><li>Ordering Info</li></a> <hr /> <a href="/faq.php" data-ajax="false"><li>FAQ</li></a> <hr /> <a href="/contactus.php" data-ajax="false"><li>Contact</li></a> <hr /> <a href="/survey.php" class="lastmnuitm" data-ajax="false"><li>Customer Survey</li></a> </ul> </div> <div id="menuend"></div> <div id="colframe"> <p class="hd1">Contact RNA Medical</p> <p>7 Jackson Rd<br>Devens, MA 01434 USA<br>Sales: (800) 533-6162<br />Phone: (978) 772-9070<br />Fax: (978) 964-0537</p> </div> </div> <div id="c2frame" class="col"> <div id="c2" class="col"> <div id="colframe"> <p class="hd1">Customer Satisfaction</p> <br> <p>Dear Valued Customer,<br /><br /> Thank you for allowing us the opportunity to serve you. In order to help us better meet your needs in the future, please take a few minutes to tell us about the service you have received from RNA Medical. We appreciate your loyalty and want to make certain we meet your expectations.</p> <br /> <div id="results"> </div> <br /><br /> <h3 class="hd2">Please tell us about yourself</h3> <br /> <form id="srvyfrm" name="srvyfrm"> <label for="facilitylbl" id="facilitylbl">Facility:</label> <input name="facility" id="facility" type="text" value=""> <label for="contact" id="contactlbl">Your Name:</label> <input name="contact" id="contact" type="text" value=""> <label for="position" id="positionlbl">Position:</label> <input name="position" id="position" type="text" value=""> <label for="phone" id="phonelbl">Phone:</label> <input name="phone" id="phone" type="text" value=""> <label for="ext" id="extlbl">Extension:</label> <input name="ext" id="ext" type="text" value=""> <label for="email" id="emaillbl">E-mail:</label> <input name="email" id="email" type="text" value=""> <label for="fax" id="faxlbl">Fax:</label> <input name="fax" id="fax" type="text" value=""> <label for="city" id="citylbl">City:</label> <input name="city" id="city" type="text" value=""> <label for="state" id="statelbl">State:</label> <input name="state" id="state" type="text" value=""> <label for="zip" id="ziplbl">Zip/Postal:</label> <input name="zip" id="zip" type="text" value=""> <label for="beds" id="bedslbl">Number of Beds:</label> <input name="beds" id="beds" type="text" value=""> <br /><br /><br /><br /> <h3 class="hd2" id="orgtypelbl">Please indicate the primary classification of your facility</h3> <select name="orgtype" id="orgtype" data-native-menu="false"> <option value="orgtypenull">Facility Classification</option> <option value="ch">Community Hospital</option> <option value="fp">For-Profit Hospital</option> <option value="il">Independent Laboratory</option> <option value="po">Physician Office</option> <option value="hd">Health Department</option> <option value="gf">Government Facility</option> <option value="di">Distributor</option> </select> <br /><br /><br /> <h3 class="hd2" id="lastcntctlbl">When did you last have contact with RNA Medical</h3> <select name="lastcntct" id="lastcntct" data-native-menu="false"> <option value="lastcntctnull">Last Contact with RNA</option> <option value="1to3">1 to 3 months</option> <option value="3to6">3 to 6 months</option> <option value="6to9">6 to 9 months</option> <option value="9to12">9 to 12 months</option> <option value="over12">Over one year</option> <option value="firsttime">First Time</option> <option value="other">Other</option> </select> <br /><br /><br /> <!--h3 class="hd2">Please rank the following questions using the rating scale below</h3> <span class="rshead">Rating Scale</span><br /> <span class="rsno">1</span> ------ One of the best suppliers<br /> <span class="rsno">2</span> ------ Better than most suppliers<br /> <span class="rsno">3</span> ------ About the same as most suppliers<br /> <span class="rsno">4</span> ------ Worse than most suppliers<br /> <span class="rsno">5</span> ------ One of the worst suppliers<br /> <span class="rsno">6</span> ------ N/A (no rating/not familiar with performance in this area)<br /> <br /><br / --> <h3 class="hd2">How do you rate RNA Medical in the following categories:</h3> <br /> <span class="rscatitm" id="overalllbl">Overall Product Satisfaction</span> <select name="overall" id="overall" data-native-menu="false"> <option value="overallnull">Overall Satisfaction</option> <option value="1">One of the best</option> <option value="2">Better than most</option> <option value="3">About the Same as Most</option> <option value="4">Worse than Most</option> <option value="5">One of the Worst</option> <option value="6">Not Familiar in this Area</option> </select> <span class="rscatitm" id="qualitylbl">Product Quality</span> <select name="quality" id="quality" data-native-menu="false"> <option value="qualitynull">Product Quality</option> <option value="1">One of the best</option> <option value="2">Better than most</option> <option value="3">About the Same as Most</option> <option value="4">Worse than Most</option> <option value="5">One of the Worst</option> <option value="6">Not Familiar in this Area</option> </select> <span class="rscatitm" id="valuelbl">Product Value</span> <select name="value" id="value" data-native-menu="false"> <option value="valuenull">Product Value</option> <option value="1">One of the best</option> <option value="2">Better than most</option> <option value="3">About the Same as Most</option> <option value="4">Worse than Most</option> <option value="5">One of the Worst</option> <option value="6">Not Familiar in this Area</option> </select> <span class="rscatitm" id="custservicelbl">Customer Service</span> <select name="custservice" id="custservice" data-native-menu="false"> <option value="custservicenull">Customer Service</option> <option value="1">One of the best</option> <option value="2">Better than most</option> <option value="3">About the Same as Most</option> <option value="4">Worse than Most</option> <option value="5">One of the Worst</option> <option value="6">Not Familiar in this Area</option> </select> <span class="rscatitm" id="compadvlbl">Competitive Advantage</span> <select name="compadv" id="compadv" data-native-menu="false"> <option value="compadvnull">Competitive Advantage</option> <option value="1">One of the best</option> <option value="2">Better than most</option> <option value="3">About the Same as Most</option> <option value="4">Worse than Most</option> <option value="5">One of the Worst</option> <option value="6">Not Familiar in this Area</option> </select> <span class="rscatitm" id="responsivenesslbl">Responsiveness to Issues</span> <select name="responsiveness" id="responsiveness" data-native-menu="false"> <option value="responsivenessnull">Responsiveness to Issues</option> <option value="1">One of the best</option> <option value="2">Better than most</option> <option value="3">About the Same as Most</option> <option value="4">Worse than Most</option> <option value="5">One of the Worst</option> <option value="6">Not Familiar in this Area</option> </select> <span class="rscatitm" id="techsupportlbl">Technical Support</span> <select name="techsupport" id="techsupport" data-native-menu="false"> <option value="techsupportnull">Technical Support</option> <option value="1">One of the best</option> <option value="2">Better than most</option> <option value="3">About the Same as Most</option> <option value="4">Worse than Most</option> <option value="5">One of the Worst</option> <option value="6">Not Familiar in this Area</option> </select> <span class="rscatitm" id="shipdelivlbl">Shipping / Delivery</span> <select name="shipdeliv" id="shipdeliv" data-native-menu="false"> <option value="shipdelivnull">Shipping / Delivery</option> <option value="1">One of the best</option> <option value="2">Better than most</option> <option value="3">About the Same as Most</option> <option value="4">Worse than Most</option> <option value="5">One of the Worst</option> <option value="6">Not Familiar in this Area</option> </select> <span class="rscatitm" id="statslbl">Statistical Services (PeerQC)</span> <select name="stats" id="stats" data-native-menu="false"> <option value="statsnull">Statistical Services (PeerQC)</option> <option value="1">One of the best</option> <option value="2">Better than most</option> <option value="3">About the Same as Most</option> <option value="4">Worse than Most</option> <option value="5">One of the Worst</option> <option value="6">Not Familiar in this Area</option> </select> <br /><br /><br /> <h3 class="hd2" id="wouldrecommendlbl">Would you recommend RNA Medical to another facility?</h3> <select name="wouldrecommend" id="wouldrecommend" data-role="slider"> <option value="no">No</option> <option value="yes">Yes</option> </select> <br /><br /><br /><br /> <h3 class="hd2" id="usecvclbl">Do you use RNA Medical Calibration Verification Controls?</h3> <select name="usecvc" id="usecvc" data-role="slider"> <option value="no">No</option> <option value="yes">Yes</option> </select> <br /><br /> <h3 class="hd2">If yes, which products:</h3> <fieldset data-role="controlgroup"> <input name="usescvc123" id="usescvc123" type="checkbox"> <label for="usescvc123">CVC 123</label> <input name="usescvc223" id="usescvc223" type="checkbox"> <label for="usescvc223">CVC 223</label> <input name="usescvcgl4" id="usescvcgl4" type="checkbox"> <label for="usescvcgl4">CVC GL4</label> <input name="usescvcgl6" id="usescvcgl6" type="checkbox"> <label for="usescvcgl6">CVC GL6</label> <input name="usesistathct" id="usesistathct" type="checkbox"> <label for="usesistathct">ISTAT HCT</label> </fieldset> <br /><br /><br /> <h3 class="hd2" id="subscribelbl">Are you enrolled in the PeerQC program provided by RNA Medical?</h3> <select name="usespeerqc" id="usespeerqc" data-role="slider"> <option value="no">No</option> <option value="yes">Yes</option> </select> <br /><br /><br /><br /> <h3 class="hd2" id="subscribelbl">Would you like to be notified when RNA Medical has updated product or service information?</h3> <select name="subscribe" id="subscribe" data-role="slider"> <option value="no">No</option> <option value="yes">Yes</option> </select> <br /><br /><br /><br /> <h3 class="hd2">What new products would you like to see RNA Medical offer?</h3> <fieldset data-role="controlgroup"> <input name="offercoag" id="offercoag" type="checkbox"> <label for="offercoag">Coagulation Control</label> <input name="offercardiac" id="offercardiac" type="checkbox"> <label for="offercardiac">Cardiac Marker Control</label> <input name="offerhba1c" id="offerhba1c" type="checkbox"> <label for="offerhba1c">HbA1c Linearity Control</label> </fieldset> <label for="offerother">Other:</label> <input name="offerother" id="offerother" type="text" value=""> <br /><br /><br /> <h3 class="hd2">Comments for improvement:</h3> <textarea name="comments" id="comments"></textarea> <br /><br /><br /><br /> <h3 class="hd2" id="recaptcha_widgetlbl">Enter the Security Code in the Box Below:</h3> <div id="recaptcha_widget" style="display:none"> <div id="recaptcha_image"></div> <div class="recaptcha_only_if_incorrect_sol" style="color:red">Incorrect please try again</div> <input name="recaptcha_response_field" id="recaptcha_response_field" class="recaptchatxtbox" type="text" value=""> <div id="recaptchinput" data-role="controlgroup" data-type="horizontal"> <a class="ui-btn ui-corner-all ui-icon-refresh ui-btn-icon-notext" href="Javascript:Recaptcha.reload();">Refresh</a> <a class="ui-btn ui-corner-all ui-icon-audio ui-btn-icon-notext" href="javascript:Recaptcha.switch_type('audio')">Audio</a> <a class="ui-btn ui-corner-all ui-icon-camera ui-btn-icon-notext" href="javascript:Recaptcha.switch_type('image')">Image</a> </div> </div> <div class="g-recaptcha" data-sitekey="6LfH2n0UAAAAAExt32Bl__dg61Oq9-To_8jzJ-7D"></div> <br /><br /><br /><br /> <a onClick="Javascript:AutoFill()">.</a> <input type="button" id="savebtn" name="savebtn" value="Send" onClick="Javascript:SaveSurvey()" /> <input type="button" id="startoverbtn" name="startoverbtn" onClick="Javascript:StartSurveyOver()" value="Start Over" /> <br /><br /><br /><br /><br /><br /><br /><br /> </form> </div> </div> </div> <div id="c1b"> <div class="center"> <img src="/res/img/peerqc.gif" class="img" width="115" height="30" /> </div> <p><a href="/stats.php" data-ajax="false">PeerQC Patent Award</a></p> <br> <!-- hr class="smhr" /> <br> <p class="hd1">RNA Medical Price List</p> <p>A hard copy Purchase Order with correct pricing is required for all orders. Please fax a copy of your Purchase Order to 978-598-7918, or e-mail to: customersevice@rnamedical.com</p> <br> <hr class="smhr" /> <br> <p class="hd1">Contact RNA Medical</p> <p>7 Jackson Rd<br>Devens, MA 01434 USA<br>Sales: (800) 533-6162<br>Phone: (978) 772-9070<br>Fax: (978) 964-0537</p> <br --> <hr class="smhr" /> <br> <div id="rndhemebadge"> <a href="/rndheme.php" target="_blank"><img src="/res/img/rndhemelogo.jpg" alt=" R&D Hematology " width="64" height="41" border="0"></a> <br /> Looking for a full suite of whole blood Hematology controls and calibrators for hospitals and clinical laboratories? If so, please visit <a href="/rndheme.php" target="_blank">R&D Systems</a> for a full range of products available to meet your needs! </div> </div> </div> <div id="foot"> <div id="footbg"> <div id="footgloss"> <p>Copyright © 2024 RNA Medical. All Rights Reserved. || <a href="privacy.php">Privacy Policy</a> || Trademarks<br />RNA Medical, PeerQC, and Safe-Wrap are a registered trademarks of Bionostics, Inc., Devens, MA, USA.<br />DCA and DCA Vantage are registered trademarks of Siemens Medical Solutions Diagnostics Corporation, IL, USA.</p> </div> </div> </div> </div> </body> </html>