Customer Satisfaction Survey Please enable JavaScript in your browser to complete this form.Name of Hospital / Facility *About the Product:About the Product:ConsumablesEquipmentServiceType of Equipment: EMG/EPEEGIONMHave you used the product before?YesNoYour Experience:How did you rate the Customer Service? Very satisfied Satisfied Dissatisfied Very Dissatisfied How well did we understand your requirements? Very satisfied Satisfied Dissatisfied Very Dissatisfied Product Feedback:How would you rate the condition of the product? Very satisfied Satisfied Dissatisfied Very Dissatisfied How would you rate the support provided? Very satisfied Satisfied Dissatisfied Very Dissatisfied How would you rate the product performance? Very satisfied Satisfied Dissatisfied Very Dissatisfied How does this equipment meet your protocols/clinical standards? Very satisfied Satisfied Dissatisfied Very Dissatisfied The next section uses the following categories, please respond to each question with only one response.Would you use the product again? Very Likely Likely Unlikely Very unlikely Would you recommend the product to a colleague? Very Likely Likely Unlikely Very unlikely Additional Comments:Do you wish to be contacted regarding your feedback? *YesNoHow would you like us to contact you?EmailTelephoneYour email address:Your Telephone NumberCustom Captcha * = Submit
