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* 1. Country

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* 2. Facility

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* 3. Product 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 standoff in the clinical setting.
How satisfied are you with the quality of this product?
How well did the standoff aid in positioning the prostate compared to expectations?

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

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