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Raz Design Inc.
Client Survey
*
1.
Contact Information
(Required.)
Name
Email Address
2.
Would you like to subscribe to our electronic newsletter, RazNewz?
Yes
No
3.
Approval to use info for marketing purposes? eg. customer feedback reviews, testimonials, etc.
(Last name and email will be kept confidential)
Yes
No
4.
Position: You are a (Select all that apply)
User
Caregiver
Other (please specify)
5.
Product: Model Being Used
AT
SP
AP
CAT
AT600
SP600
AP600
*
6.
Chair Serial Number:
(Required.)
7.
Ratings
Poor
Average
Good
Excellent
Functionality
Poor
Average
Good
Excellent
Ease of Use
Poor
Average
Good
Excellent
Comfort
Poor
Average
Good
Excellent
Durability
Poor
Average
Good
Excellent
Customization
Poor
Average
Good
Excellent
Aesthetics
Poor
Average
Good
Excellent
Overall Product Quality
Poor
Average
Good
Excellent
Customer Service
Poor
Average
Good
Excellent
Technical Support
Poor
Average
Good
Excellent
Delivery Time
Poor
Average
Good
Excellent
Documentation
Poor
Average
Good
Excellent
Website
Poor
Average
Good
Excellent
Comments
8.
General Comments
9.
What do we do well?
10.
What can we do better?
11.
Would you recommend Raz to other users and caregivers?
Yes
No
Doc #: RSD045r01 Rev. Date: 2022-11-07
