CUSTOMER INSTRUMENT QUESTIONNAIRE

Please take a moment to complete this questionnaire. Our aim is to understand product performance in your market to improve our products and services.

For each question, please select the option that best describes your opinion. Choose from poor to excellent, or N/A if the question is not relevant to your experiences. Feel free to add any comments for each section or at the end of the questionnaire.

* 1. Completed By or on Behalf Of (Name, Organization, Country or Region, and Contact Email or Phone Number)

* 2. Category of Qualification

* 3. If you answered Surgeon in the previous question, please select a specialty subcategory.

* 4. How were the answers acquired ?

* 5. Considering the monopolar instrumentation

  Poor Unsatisfactory Indifferent Satisfactory Excellent N/A
Your satisfaction level with the cutting/grasping performance

* 6. Considering the bipolar instrumentation

  Poor Unsatisfactory Indifferent Satisfactory Excellent N/A
Your satisfaction level with the grasping/coagulation performance

* 7. Rate the following

  Poor Unsatisfactory Indifferent Satisfactory Excellent N/A
Overall feel of the handle
Your satisfaction level with the use of the rotating thumb loop
Your satisfaction level with rotation of the instrument shaft using your forefinger
Page1 / 1
 
100% of survey complete.

T