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Patient Survey Form for Medical Devices

by Hrushikesh Kadam, from the Community

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Use this patient survey form to capture feedback on medical devices, including ease of use, adequacy of training, comfort and fit, effectiveness in managing conditions, durability, and any issues or malfunctions. Patients can rate satisfaction on a 1–10 scale, provide recommendations, and add comments. Includes fields for personal info, device name, manufacturer, and installation date. Customize to suit your clinical workflow.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.