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General Information
What is your title/role?
What type of healthcare facility do you work at?
How long have you been in your practice?
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About medical device/medication
How often do you use [medical device/medication]?
Please list the specific [medical device/medication] you usually use?
What is your level of comfort and familiarity with using [medical device/medication]
5
4
3
2
1
N/A
How often do you receive training or updates on the proper use of new [medical device / medication]?
Regularly
Occasionally
Rarely
Never
Have you encountered any challenges or difficulties when using specific medical devices?
Yes
No
Please describe
How would you rate the overall reliability and performance of the medical devices you use?
Excellent
Very Good
Good
Fair
Poor
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About Access
How easily can you acquire our medical devices or medications for your patients?
Very Easily
Easily
Neutral
Difficultly
Very Difficultly
Are there any barriers or challenges you face when trying to access our products?
Yes
No
Please specify
How satisfied are you with the availability and accessibility of our products?
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
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About Implementation
How straightforward is the process of implementing our medical devices or medications into your practice?
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Have you encountered any difficulties during the implementation process?
Yes
No
Please elaborate
How well does the product integrate with existing procedures and protocols in your healthcare setting?
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About Usage
How frequently do you use [medical device / medication] in your practice?
Daily
Weekly
Monthly
Rarely
Never
Are there specific features of [medical device / medication] that enhance or hinder their usability for you and your team?
Yes
No
Please rate the ease of use and user-friendliness of [medical device / medication]
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
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About Usage
How satisfied are you with the clinical outcomes achieved using [medical device /medication]?
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Have you observed any positive or negative patient outcomes specifically attributed to [medical device /medication]?
Yes
No
How likely are you to recommend our medical devices and medications to other healthcare practitioners based on your experience?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
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