BE SURE. TEST IT NOW.

1. Do you work in a:
   --- Hospital - clinical lab Hospital - IVF lab (private) IVF clinic Other:
   
2. How many semen analysis are being done in your institute on a montly basis (on average)?:
3. What method of semenanalysis do you work with now?:
   --- Other disp. count. chamber Makler Hemocytometer CASA Other:
   
4. Which CASA system do you work with?:
   --- Hamilton Thorne - Ceros Hamilton Thorne - IVOS Microptic SL - SCA Chrismas system VideoTesT Other:
   
5. Which sample slide would you like to receive?:
   10 micron - 4 chamber
   12 micron - 2 chamber
   20 micron - 2 chamber
   20 micron - 4 chamber
   100 micron - 2 chamber
6. Comments:

1. Do you work in a:
   --- Animal reproduction facility Research facility Other:
   
2. With what type of animal do you work?:
   --- Bovine Porcine Equine Other:
   
3. How many semen analysis are being done in your institute on a montly basis (on average)?:
4. What method of semenanalysis do you work with now?:
   --- Other disp. count. chamber Makler Hemocytometer Photometer CASA Other:
   
5. Which CASA system do you work with?:
   --- Hamilton Thorne - Ceros Hamilton Thorne - IVOS Hamilton Thorne - UltiMate Microptic SL - SCA Chrismas system VideoTesT Other:
   
6. Which sample slide would you like to receive?:
   20 micron - 2 chamber
   20 micron - 4 chamber
   20 micron - 8 chamber
   100 micron - 2 chamber
7. Comments:

1. How many semen analysis are being done in your institute on a montly basis (on average)?:
2. What method of semenanalysis do you work with now?:
   --- Other disp. count. chamber Makler Hemocytometer Photometer CASA Other:
   
3. Which CASA system do you work with?:
   --- Hamilton Thorne - tox-IVOS Microptic SL - SCA Chrismas system VideoTesT Other:
   
4. Which sample slide would you like to receive?:
   100 micron - Tox slide
5. Comments:

Leja will send you the requested samples as soon as possible, please allow at least 4 weeks for delivery
Our local distributors will take care of your sample request.

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