Manual Entry Poly Specimen Retrieval Questionnaire Rev A Specimen Retrieval Question Title * 1. Completed By JK TMO DWD GLL OLH LAL RM GWH KNK Other Question Title * 2. On Behalf Of Question Title * 3. Category of Qualification Distributor Hospital Administrator Sales Representative Surgeon Nurse Question Title * 4. If you answered Surgeon in the previous question, please select a specialty subcategory. General Pediatric Gynecology Urology Question Title * 5. Country or Region Question Title * 6. Email or Phone Number (Optional) Question Title * 7. How were the answers acquired ? Telephone Call Hospital Visit Office Visit Email received Other (please specify) Next