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Medical Device Survey Template
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Thank you for taking the time to share your impressions of our medical devices. Please complete this short survey to help us improve.
*
1.
Full name
2.
Email address
3.
Phone number
4.
Which device(s) have you used?
[Checkboxes]
Device A
Device B
Device C
Device D
Other
5.
How often do you use the device(s)?
Daily
Weekly
Monthly
Rarely
6.
Please rate the ease of use of the device(s):
1
5
7.
Please rate your satisfaction with the performance of the device(s):
1
5
8.
What improvements would you recommend for the device(s)?
9.
Would you recommend these device(s) to others?
Yes
No
10.
Any additional comments or feedback?
Evaluation object score
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