Customer Feedback Question Title * 1. What product(s) did you use? 4000-DISP-M: Disposable Mask Inhaler 4000-DISP-MP: Disposable Mouthpiece Inhaler 4000-DISP-NC-A: Disposable Adult Nasal Cannula 4000-DISP-NC-P: Disposable Pediatric Nasal Cannula 3000-REUSE-M: Reusable Mask Inhaler 3000-REUSE-NC/MP: Reusable Nasal Cannula/Mouthpiece Inhaler Refill with cylinders and included accessory Other (please specify) Question Title * 2. What was the product used for? Question Title * 3. Did the device perform adequately according to the intended purpose? Yes No Comments/Suggestions Question Title * 4. Were any potential safety hazards identified? Yes No Comments/Suggestions Question Title * 5. Is there anything we could do better? Question Title * 6. First & Last Name Question Title * 7. Title Question Title * 8. State/Territory/Country Question Title * 9. Facility Question Title * 10. Phone Number Done