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* 1. Country

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* 2. Facility

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* 3. Product(s) Used

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* 4. Item Number(s) Used

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* 5. Procedure(s) Performed

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* 6. Anatomy Targeted

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* 7. Rate satisfaction on a scale of 1 to 5 (1 being the lowest level of satisfaction & 5 being the highest level of satisfaction)

  1-Low Satisfaction 2 3 4 5-High Satisfaction
Based on product design, rate the ease of use of the product in the clinical setting.
How satisfied are you with the quality of this product?
How satisfied are you with the use of the product to enable image registration compared to manual registration?

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* 8. Based on your clinical expertise, do you believe there is added patient risk associated with the use of this product?

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* 9. Which ultrasound cover was used during the procedure?

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* 10. How well did the ultrasound cover serve as a sterile barrier? (Rank satisfaction with 1 being the lowest and 5 being the highest)

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* 11. Please provide your email address in order for CIVCO to respond to any concerns.

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