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YOUR EXPERIENCE

Zephyr Feedback

Now that you have trialled the Zephyr, we would love to hear your thoughts and feedback on how we can improve your experience!

About You

1. Name*

2. Occupation*

Doctor Nurse Audiologist Other:

3. How often do you perform microsuction?*

Daily Weekly Monthly Less than monthly

Product Experience

4. The Zephyr was easy to use*

Strongly agree Agree Neutral Disagree Strongly disagree

5. I feel more in control using the Zephyr rather than my standard sucker*

Strongly agree Agree Neutral Disagree Strongly disagree

6. The Zephyr blocked less than my standard sucker*

Strongly agree Agree Neutral Disagree Strongly disagree

7. The flexible connection tubing makes the Zephyr more comfortable and easier to use*

Strongly agree Agree Neutral Disagree Strongly disagree

8. I think that the Zephyr will reduce the risk of complications from microsuction*

Strongly agree Agree Neutral Disagree Strongly disagree

Impressions & Recommendation

9. What is your impression of the appearance of the Zephyr?*

Great. Very professional Nice Neutral Not great Terrible

10. The Zephyr will be a useful addition to my practice*

Strongly agree Agree Neutral Disagree Strongly disagree

11. How likely would you be to recommend the Zephyr?*

Highly likely Likely Neutral Unlikely Highly unlikely

Open Feedback

12. What do you most like about the Zephyr sucker?

13. What do you least like about the Zephyr sucker?

14. Suggestions for improvement

15. Email

I consent to my responses being used anonymously for product development and clinical research purposes.

I would like to be kept informed of the latest Spoke Medical product developments and medical research.

Thank you for taking the time to share your feedback. Your responses help us improve the Zephyr for clinicians everywhere.

Thank You

Your feedback has been submitted successfully. We truly appreciate you taking the time to help us improve the Zephyr.

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