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SIGVARIS MEDICAL Customer Feedback Form: Web & Response Cards

2. Customer Feedback Form

Thank you for sharing your opinion on your SIGVARIS garments. Your feedback is important to us and helps us create even better products! This form should take less than 5 minutes to complete. Please note that although we are unable to personally respond to the comments on these surveys, we do read each and every one.
1.Do you give your consent for SIGVARIS to share your feedback within sales or marketing programs? Besides your name and/or job title, your personal information will not be disclosed [i.e. height, weight, contact information, etc.](Required.)
2.Please provide your contact information.
3.Gender:(Required.)
4.Your age group:
5.Please enter your weight: [ex. 157 lbs.](Required.)
6.Your Height: [ex. 5 feet, 5 inches](Required.)
7.What is your Shoe Size?
8.Which SIGVARIS MEDICAL products are you wearing?(Required.)
9.What is the compression level of your garment?(Required.)
10.Which style? (Mark all that apply)(Required.)
11.Where did you buy these?
12.How long have you used graduated compression products?(Required.)
Please tell us how you feel about this product by answering the questions below.
13.Fit:(Required.)
14.Attractiveness:(Required.)
15.Durability:(Required.)
16.Comfort:(Required.)
17.Would you like to make any additional suggestions or comments?