Questionnaire for market observation
ANOKRYO® Combi Set

Customer 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 the 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 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 ANOKRYO® Combi Set

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


PakuMed medical products gmbh

Im Löwental 79
45239 Essen

Tel.: +49 201 – 43 70 97 – 0

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



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