Exam

Name*

First Last

Date*

Email*

Title*

Company*

Company Address*

Street Address City State ZIP Code

Phone*

Company Name Your Are Testing For*

When should the test device be removed from the foil pouch?*

What is the minimum volume of urine needed to perform the test?*

What should you look for on the temperature strip?*

Why do you have the donor sign the security seal when placing it over the cup?*

How long should you wait after the NexScreen Cup test has started before reading the results?*

Who is authorized to read the results?*

Two colored lines on a drug strip indicate which result:*

No lines on a drug strip indicate which result:*

Only one upper line on a drug strip indicates which result:*

Only one lower line on a drug strip indicates which result:*

The presence of a control line and a very faint or partial test line indicates which result:*