Low Profile Case Survey To be completed by CurvaFix employees for every case Question Title * 1. Representative Name Question Title * 2. Customer Status: Active IM user transitions to LP Brand new user Used IM in the past but not consistently Question Title * 3. Surgeon Name Question Title * 4. Fill in the surgery date: Date Date LP Case Questions: Question Title * 5. Did the implant locking experience go as expected for the surgeon. Yes No If not, please explain Question Title * 6. Rate the implant length selection experience (Check One). Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied If Dissatisfied or Very Dissatisfied, please explain. Question Title * 7. Was the Triple Sleeve System used? Yes No Question Title * 8. Did the surgeon pin the Triple Sleeve System in place? Yes No Question Title * 9. Rate the experience using the T-handle Chuck. Very Satisfied Satisfied Neither satisfied or dissatisfied Dissatisfied Very dissatisfied If Dissatisfied or Very Dissatisfied, please explain. Question Title * 10. Rate the cutting efficiency of the flexible drill. Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied If Dissatisfied or Satisfied please explain. Question Title * 11. Did the flexible drill allow for single pass drilling? Yes No If not, please explain. Done