Sample Collection Questionnaire - BioChain Institute Inc.

Thank you for choosing BioChain as your service provider. In order to provide you with the best service possible, we would like to ask the following questions so that we may understand your requirements better.

About You
Name*
First Last
Email*
Phone
Contact Information
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name Of Organization
Category*
- University
- Foundation
- Institution
- CRO company
- Pharmaceutical company
- Other
About Sample Collection
What patients do you want to collect samples from?
What samples do you want to collect from the patients, e.g. blood?
What condition do you want us to collect the samples?
How many patients do you want to collect samples from?
What time frame do you want us to collect the samples?
About Sample Preparation
Do you want us to isolate genomic DNA/RNA/Protein lysate from the samples? If yes, how much do you want?
Do you want us to make tissue sections/arrays with these samples? If yes, please give a detailed description of what you want.
About Sample Analysis
What methods do you want us to analyze the genomic DNA?
What methods do you want us to analyze the RNA?
What methods do you want us to analyze the protein lysate?
What methods do you want us to analyze the tissue sections/arrays?
Other Logistics
Will there be any investigator stay in BioChain throughout the study?
Is there any other information you could provide before the project?
Other comments?

About You

About Sample Collection

About Sample Preparation

About Sample Analysis

Other Logistics