0693-0031_SurveyMonkey_SRMProductSupportQuestions_SAMPLE_2021_Submission

NIST Standard Reference Material (SRM) Product Survey
Welcome to the NIST SRM Product Survey

This survey allows you to rate your purchased SRM product(s), as well as any
technical assistance provided. Click "Continue" to start the NIST SRM Product
Survey.
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for
failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the
information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is
0693-0031. Without this approval, we could not conduct this survey. Public reporting for this information collection is estimated to be
approximately 7 minutes/hours per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection
are voluntary. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions
for reducing this burden to the following:

National Institute of Standards and Technology
Attn: Tracy Hayat
Office of Reference Materials
100 Bureau Drive, Stop 2300
Gaithersburg, MD 20899-2300
E-mail: [email protected]
**Disclaimer**
You are accessing a U.S. Government information system, which includes: 1) this computer, 2) this computer network, 3) all computers
connected to this network, and 4) all devices and storage media attached to this network or to a computer on this network. You
understand and consent to the following: you may access this information system for authorized use only; you have no reasonable
expectation of privacy regarding any communication of data transiting or stored on this information system; at any time and for any
lawful Government purpose, the Government may monitor, intercept, and search and seize any communication or data transiting or
stored on this information system; and any communications or data transiting or stored on this information system may be disclosed or
used for any lawful Government purpose.

OMB Control No.: 0693-0031

OMB Expiration Date: June 30, 2021

NIST Standard Reference Material (SRM) Product Survey
Welcome to the NIST SRM Product Survey

It is not required to identify yourself by name or organization in the survey.
However, providing customer information will allow us to contact you and respond
to any problems, issues or comments you submit. We review all surveys and when
possible, follow up on any Fair or Poor ratings.
* Remain anonymous? (Fields with an asterisk are required.)
Yes. I would like to remain anonymous.
No. I will provide my information.

NIST Standard Reference Material (SRM) Product Survey
Customer Information

* Customer Information (Fields with an asterisk are required.)
* First Name:
* Surname:
* Organization/Company:
* Address:
Address (continued):
* City:
* State/Province:
Postal Code:
* Country:

Best Contact Method? (When selecting any of the options, ensure the information below is complete. More than one can be
selected.)
Phone

Fax

Phone Number (Field should only contain digits, spaces or dashes.)

Fax Number (Field should only contain digits, spaces or dashes.)

Email address (Field should contain an @ symbol and a period.)

Purchase Information:
NIST Sales Order Number

Email

Your Purchase Order Number

NIST Standard Reference Material (SRM) Product Survey
NIST SRM Purchase Information

* SRM Information (Fields with an asterisk are required.)
* SRM Number:
Lot Number (if available):
Serial Number (if
available):

What is the intended use of this SRM to your work?

NIST Standard Reference Material (SRM) Product Survey
SRM Rating

Please rate the following:
Excellent

Very Good

SRM Certificate or
Report of Investigation
information
SRM Safety Data Sheet
or SRM Exemption
Letter information
Overall SRM quality
Overall SRM value
Let us know why any score was "Fair" or "Poor" below.

Would you purchase this NIST SRM again?
Yes
No
If "No", please explain.

Other comments?

Good

Fair

Poor

Not Applicable

NIST Standard Reference Material (SRM) Product Survey
Potential Technical Issues

Did you contact NIST regarding any technical issues with this SRM?
Yes
No

NIST Standard Reference Material (SRM) Product Survey
Technical Assistance

Was your technical issue resolved?
Yes
No
If "No", please explain.

Please rate the following:
Excellent

Very Good

Timeliness of the NIST
technical staff in
response to your inquiry
or request
Quality of information
provided in response to
your request or inquiry
Overall customer service
experience
Let us know why any score was "Fair" or "Poor" below.

How can the NIST technical staff improve their service?

Good

Fair

Poor

Not Applicable