Non-Woven Overshoes Product Feedback
Hospital or Health Institution Name:
Customer Name:
First Name
Last Name
Date
-
Month
-
Day
Year
Today's Date
End User Name:
End User Email Address
example@example.com
End User Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Rate the overall satisfaction of the product:
extremely dissatisfied
1
2
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5
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8
9
extremely satisfied
10
1 is extremely dissatisfied, 10 is extremely satisfied
Do you feel that the product serves its intended purpose
absolutely not
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4
5
6
7
8
9
absolutely yes
10
1 is absolutely not, 10 is absolutely yes
What do you feel are the best parts of our product?
What problems have you previously had with this product?
Rate the following aspects of our product from 1-10
Tension strength of the elasticated material
very poor
1
2
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4
5
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7
8
9
very good
10
1 is very poor, 10 is very good
Packaging of the non-woven Overshoes including primary packaging, and secondary packaging
very poor
1
2
3
4
5
6
7
8
9
very good
10
1 is very poor, 10 is very good
Ease of Use of the Overshoes
1
2
3
4
5
Non-woven swab shape, and size
very poor
1
2
3
4
5
6
7
8
9
very good
10
1 is very poor, 10 is very good
Overall Quality of the Overshoes
very poor
1
2
3
4
5
6
7
8
9
very good
10
1 is very poor, 10 is very good
Are there any recommendations for improvement of the product?
Are there any post-delivery activities that you require?
Do we meet your delivery requirements
Yes
No
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