Questionnaire for market observation
SFN®(non coring) port needle

Costumer feedback form - user

Dear Sir or Madam,

Against the background above, we are dependent on your support within the framework of the practical implementation of the EU Regulation 2017/745 enacted by European Parliament and the Council.
Feedback from long-standing customers and users, who have known and used our products for a long time and are therefore able to evaluate them adequately, is of particular help to us.
The evaluation of your answers is anonymous and no conclusions about individual customers and patients are included in the corresponding evaluation.

The questionnaire is divided into the following topics:

I. Information on the feedback provider (medical background)
II. General product information
III. Patient group to be treated
IV. Therapy and application of the product SFN® port needle
V. Remarks/comments

We kindly ask you to take a few moments to answer the questionnaire. The questionnaire will take about 5-10 minutes to complete.
Your answers will help us to improve medical products in the future, to make them even safer and to make them available in the usual form.

Thank you very much for your support!
The team of PakuMed gmbh

Contact:

PakuMed medical products gmbh

Im Löwental 79
45239 Essen

E-Mail: info@pakumed.de
Phone: +49 201 – 43 70 97 – 0

Product

Evaluation

Satisfaction (0= Not at all satisfied, 4=very satisfied)

Functionality

Handling:

Workflow and Compatibility:

Suggestions for improvement:

Training needs: