SwISTEM Equipment Lending Service Post Check-Out Evaluation
For future funding possibilities and service upgrades, it is very important that you complete the following brief survey after each equipment check-out period. Thank you for your time.
School or Organization
Date of Equipment Check-out
When was the equipment delivered?
Grade Level/Subject Matter
What grade level and/or subject matter was taught using the equipment? Check all that apply.
Please select the type of equipment you checked out from the Equipment Lending Service. Check all that apply.
Vernier LabQuest Handheld Interfaces
Microscope and/or Dissecting Scope Equipment
General Laboratory Equipment (Balances, Scoopulas, Forceps, Goggles, Beakers, etc.)
Earth Science Equipment (Rocks, Minerals, Magnets, etc.)
Physical Science Equipment (Dynamics Tracks, Electricity Kits, Sine Wave Generators, etc.)
Gel Electrophoresis Equipment
Spectrophotometers (Spec 20's)
Chemistry Model Sets
Human Skeleton Model
Approximately, how many students used the equipment during this check-out period?
Please rate the reservation process of the equipment.
Please rate the delivery process of the equipment.
Please rate the pick-up process of the equipment.
Please rate the quality of the equipment.
Were you able to reserve the equipment for the date you wished to use it?
Yes, I was able to receive the equipment on date I requested.
I was able to receive the equipment I requested but had to alter the receipt date.
No, I was unable to reserve the equipment.
Please indicate any problems or difficulties you encountered with the equipment. (Broken, Damaged, Missing Parts, etc.)
Questions, Concerns, Needs, Etc.
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Terms of Service