Survey

Date of completion:

Medical device used: ^(*)
Select a deviceCAVERNINJECTORSOFTINJECT

How would you rate the effectiveness of our medical device for its intended use? ^(*)
-- Select a value --1 - Not effective at all2 - Slightly effective3 - Moderately effective4 - Very effective5 - Extremely effective

Is the instruction leaflet provided with our medical device clear and complete? ^(*)
-- Select a value --1 - Not clear or complete at all2 - Slightly clear and complete3 - Moderately clear and complete4 - Very clear and complete5 - Extremely clear and complete

Would you recommend our medical devices to others? ^(*)
-- Select a value --1 - Definitely not2 - Unlikely3 - Maybe4 - Likely5 - Definitely yes

Overall, how satisfied are you? ^(*)
-- Select a value --1 - Not satisfied at all2 - Slightly satisfied3 - Moderately satisfied4 - Very satisfied5 - Extremely satisfied

If you required further information or assistance, how would you rate the support provided? ^(*)
-- Select a value --1 - Not satisfactory at all2 - Slightly satisfactory3 - Moderately satisfactory4 - Very satisfactory5 - Excellent

Compared to our competitors, is the price/quality ratio of our devices reasonable? ^(*)
-- Select a value --1 - Not reasonable at all2 - Slightly reasonable3 - Moderately reasonable4 - Very reasonable5 - Extremely reasonable

Do you have any comments about your experience or suggestions on how we can improve?

Customer type: ^(*)
-- Select a value --Private CustomerMedical OfficeDoctor/Professional

Full Name / Company Name ^(*)

Email Address ^(*)

Address and street number ^(*)

Privacy Policy ^(*)

By submitting this form, I declare that I have read the Privacy Policy and I authorize the processing of my personal data in order to respond to my request.