Exit this survey State Lab Services - Inspection Appraisal Form Question Title Question Title * 1. Inspection Information Laboratory Name Address AZ License # Date of On-site Lead Inspector Other Inspectors Please indicate your assessment of the inspection by checking the appropriate responses. Question Title * 2. Did the inspector(s) provide: Poor Marginal Acceptable Good Excellent Adequate information about when the inspection was to occur? Adequate information about when the inspection was to occur? Poor Adequate information about when the inspection was to occur? Marginal Adequate information about when the inspection was to occur? Acceptable Adequate information about when the inspection was to occur? Good Adequate information about when the inspection was to occur? Excellent What documentation would be necessary for review before the inspection? What documentation would be necessary for review before the inspection? Poor What documentation would be necessary for review before the inspection? Marginal What documentation would be necessary for review before the inspection? Acceptable What documentation would be necessary for review before the inspection? Good What documentation would be necessary for review before the inspection? Excellent Question Title * 3. How would you rate the inspector(s) in: Poor Marginal Acceptable Good Excellent Reviewing the available documents and records? Reviewing the available documents and records? Poor Reviewing the available documents and records? Marginal Reviewing the available documents and records? Acceptable Reviewing the available documents and records? Good Reviewing the available documents and records? Excellent Interviewing the lab personnel? Interviewing the lab personnel? Poor Interviewing the lab personnel? Marginal Interviewing the lab personnel? Acceptable Interviewing the lab personnel? Good Interviewing the lab personnel? Excellent Conducting a closing conference? Conducting a closing conference? Poor Conducting a closing conference? Marginal Conducting a closing conference? Acceptable Conducting a closing conference? Good Conducting a closing conference? Excellent Overall professionalism of the inspectors? Overall professionalism of the inspectors? Poor Overall professionalism of the inspectors? Marginal Overall professionalism of the inspectors? Acceptable Overall professionalism of the inspectors? Good Overall professionalism of the inspectors? Excellent Additional Comments: Question Title * 4. Laboratory Professional Submitting Appraisal Name Title Phone Number Done