Sterile Aquasonic 100 Customer Feedback Survey First Name * Last Name * Email * Facility * Job Title * Mobile Phone * State * AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT Country US CA AD AE AF AG AI AL AM AO AQ AR AS AT AU AW AX AZ BA BB BD BE BF BG BH BI BJ BL BM BN BO BQ BR BS BT BV BW BY BZ CC CD CF CG CH CI CK CL CM CN CO CR CU CV CW CX CY CZ DE DJ DK DM DO DZ EC EE EG EH ER ES ET FI FJ FK FM FO FR GA GB GD GE GF GG GH GI GL GM GN GP GQ GR GS GT GU GW GY HK HM HN HR HT HU ID IE IL IM IN IO IQ IR IS IT JE JM JO JP KE KG KH KI KM KN KP KR KW KY KZ LA LB LC LI LK LR LS LT LU LV LY MA MC MD ME MF MG MH MK ML MM MN MO MP MQ MR MS MT MU MV MW MX MY MZ NA NC NE NF NG NI NL NO NP NR NU NZ OM PA PE PF PG PH PK PL PM PN PR PS PT PW PY QA RE RO RS RU RW SA SB SC SD SE SG SH SI SJ SK SL SM SN SO SR SS ST SV SX SY SZ TC TD TF TG TH TJ TK TL TM TN TO TR TT TV TW TZ UA UG UK UM UY UZ VA VC VE VG VI VN VU WF WI WS YE YT ZA ZM ZW What procedures do you perform using Sterile Aquasonic 100? * How often do you perform these procedures per week? * For questions 3 to 5, please rate your answers on a scale of 1 to 5, where 1 is the lowest score and 5 is the highest:Does Sterile Aquasonic 100 gel met your procedural needs? * 1 2 3 4 5 If you gave the rating of 1 or 2, please explain why. * Does the packaging of Sterile Aquasonic meet your needs? * 1 2 3 4 5 If you gave the rating of 1 or 2, please explain why. * Does Sterile Aquasonic 100 bring value to your practice? * 1 2 3 4 5 If you gave the rating of 1 or 2, please explain why. * What influences your decision to use Sterile Aquasonic 100 in comparison to other products? * Are there any changes or improvements you would suggest for Sterile Aquasonic 100? * Would you be interested in evaluating new products from Parker Laboratories? * Yes No OK