Case Study Candidate Application

Thank you for being a loyal customer and sharing your success story with us! Please complete the application below. If selected to participate in a case study, your practice or lab will be prominently recognized on our Alfa Wassermann website and social media channels!

1. What is your practice type?
   General Practice or Family Practice
   Cardiology
   Endocrinology
   Internal Medicine
   OB/GYN
   Hem/Onc
   Other

2. How many lab technicians are currently in your practice or lab?
   1-2
   3-5
   6+
   Other

3. What type of tests do you send out?
   

4. How did you handle chemistry testing prior to having an Alfa Wassermann analyzer?
   Sent testing out
   Used a different chemistry analyzer
   Other

5. If you had a competitive product, what were the reasons for switching to Alfa Wassermann? Select all that apply.
   Better service
   More cost-effective
   More reliable
   Other

6. Describe any challenges you faced prior to having an Alfa Wassermann analyzer.
   

7. Describe your chemistry testing goals for the practice or lab.
   

8. How did you learn about Alfa Wassermann?
   Distributor recommendation
   Google ad
   Magazine
   Social media
   Tradeshow
   Website
   Other

9. How did the analyzer help to overcome your challenges and currently benefit your practice or lab?    

Thank you for your time! We will get back to you shortly. Please provide your contact information below.

Name:
Practice or Lab:
Zip Code:
Phone Number:
E-Mail Address: