Caregiver4me Pilot Feedback Survey
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Your name (optional)
Email
example@example.com
Phone Number
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Other Contact Details
Is this feedback from:
The smartwatch wearer (senior)
A family member or caregiver
Both together
How often was the smartwatch worn this week?
Every day
A few days
Rarely
Not at all
How comfortable is the watch to wear?
Please Select
Very comfortable
Somewhat comfortable
Neutral
Uncomfortable
How easy was it to charge and use the device this week?
Very easy
Somewhat easy
Sometimes confusing
Difficult
Have you noticed any problems (battery, connection, alerts, etc.)?
No problems
Minor issues (please describe)
Serious issue (please describe)
If you experienced problems, please describe them here (optional)
How accurate or useful do you feel the readings have been (heart rate, blood pressure, fall alerts)?
Very reliable
Somewhat reliable
Not sure yet
Not reliable
Do you feel more confident knowing the watch can alert family or caregivers in an emergency?
Please Select
Yes, much more confident
A little more confident
Not sure yet
Not really
Have you tested or used the SOS or fall detection feature yet?
Yes, and it worked well
Yes, but had issues
Not yet
Did the family or caregiver receive alerts properly?
Yes
No
Not sure
Did you need help from Caregiver4me support this week?
Please Select
Yes
No
If you contacted support, how satisfied were you with the support received?
Please Select
Very satisfied
Somewhat satisfied
Not satisfied
Would you like a team member to contact you for help or to review your experience?
Yes, please call me
Yes, please email me
No follow-up needed
If you would like us to contact you, please provide your phone number or email (optional)
Your contact details
What do you like most about the smartwatch so far?
Share what you like most (optional)
What would you change or improve?
Share suggestions or improvements (optional)
On a scale of 1 to 10, how likely are you to recommend Caregiver4me to a friend or family member?
Not likely at all
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not likely at all, 10 is Extremely likely
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