Please take a few minutes to complete our Contributor Satisfaction Survey. The Survey is use to help us upgrade the quality of our consultation service and provide better service to you.

1.)	Please select status: Select One >> Army Navy Air Force VA U.S Civilian Non-U.S. Civilian
2.)	Do you send cases to the AFIP? Select One >> Yes No
2a.)	If NO: What services can we provide you?
3.)	Please characterize your experience with our consultation service in the last 6 months.
4.)	AFIP Department(s) being rated: (Ctrl + Click to select multiple departments) Cardiovascular Pathology Molecular Diagnostics Dermatopathology Endocrine & Otorhinolaryngic Pathology Environmental & Toxicologic Pathology Genitourinary Pathology Gyn & Breast Pathology Hematopathology Pathology Hepatic & Gastrointestinal Pathology Infectious & Parasitic Pathology Legal Medicine Neuropathology and Ophthalmic Pathology Oral & Maxillofacial Pathology Orthopedic Pathology Pulminary and Mediastinal Pathology Radiologic Pathology Repository Services Soft Tissue Pathology Telemedicine Veterinary Pathology
2.)	AFIP Department(s) Rating: SCALE 1-5 / 5 BEST   1 2 3 4 5 a. diagnostic data b. communication c. turn-around time d. overall informative value ADDITIONAL COMMENTS