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* 1. Name and title

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* 2. Using any number from 0 to 10, where 0 is extremely difficult and 10 is extremely easy, what number would you use to rate how easy it was for you to use traditional soft restraints ?

  10 Extremely easy 9 8 7 6 5 4 3 2 1 0 Extremely difficult
.

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* 3. Using any number from 0 to 10, where 0 is extremely difficult and 10 is extremely easy, what number would you use to rate how easy it was for you to use XD-Cuff ?

  10 Extremely easy 9 8 7 6 5 4 3 2 1 0 Extremely difficult
.

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* 4. Do you feel that you were able to control uncooperative patients faster with XD-Cuff vs traditional limb restraint products ?

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* 5. Would you recommend your department or agency switch to XD-Cuff?

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* 6. Do you have any questions, comments, or concerns?

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