Feedback - Biochange

User feedback questionnaire

User Feedback Questionnaire

First Name

Last Name

Phone/Mobile

Country

Please choose the product you provide your feedback.

ReGum™ Vet

VetFoam™

vitaloc™

How many product units have you used so far?

Product Usability

1=Hard to use | 4=easy to use

Please elaborate:

Did you encounter any side effects related to the product (not to the surgical procedure):

The number of cases (product units) in which the side effect was observed

Please elaborate, including side effect description and number of cases

Did you encounter any adverse events [unexpected medical reaction] related to the product usage?

Yes

Please elaborate

From your experience, how would you rate the efficacy of the used product?

1=Low efficacy | 4=High efficacy

I do not have enough information to answer

Please elaborate

We Would love to learn more from your experience with ReGum-Vet. Could you share some data?

Yes

Maybe

Here is the place to share any insights/ thoughts / feedback freely

	None	Mild	Moderate	Severe	Not relevant
Inflammation
Flap Dehiscence
Hemorrhage at treatment site
Infection
Allergic reactions
Temporary urinary obstruction
Other