EVALUATION FORM

Account Name: Date:

Address:

Brand: Model: Serial #:

RATE: 5-EXCELLENT 4-VERY GOOD 3-GOOD 2-FAIR 1-NEEDS IMPROVEMENT

Criteria 5 4 3 2 1 Remarks

Physical Appearance
Ease of Use
Accuracy of Results
Range of Test
Availability
Knowledge of the
Applications Specialist
Overall Presentation

Comments or Suggestions

Evaluator's Name:

Position:

Signature