Customer Feedback

Customer Feedback Form

1. Serial No.:*

Device Model: *
CARDIOVIT AT-1 G2CARDIOVIT AT-102 G2CARDIOVIT FT-1CARDIOVIT FT-2CARDIOVIT CS-200 Excellence / ErgoSpiroCARDIOVIT CS-200 Office / ErgoSpiroCARDIOVIT AT-180CARDIOVIT CS 10/20SPIROVIT SP-1 G2BR-102 plusmedilog ARmedilog DARWIN2FRED easyport plusFRED easy G2FRED PA-1EASY PULSEDEFIGARD 400DEFIGARD 400xOXYWAVETRUSCOPE IIITRUSCOPE ultra Q5TRUSCOPE ultra Q7TRUSCOPE touch miniTRUSCOPE P SeriesTRUSCOPE M10TRUSCOPE CNSMaglife RT-1GraphNet advanceGraphNet tsGraphNet neoAQUILON tsBRINABRINA neoSOPHIEA-mac E1A-mac E6A-mac S23 - 2 GasA-mac S23 - 3 GastremofloSpiroScoutPowercube Diffusion +Powercube Body +NIOX VEROEucapSysAltiTrainer

3. Are you a:*
—Please choose an option—DoctorNurseBiomed EngineerTechnical AssistantOther

Please provide your name here:*

4. Name of the place where the product has been installed:*

5. Mobile No.*:

6. State:*

7. Were the product’s features, functions, and add-on options with their uses explained to you?*
—Please choose an option—YesNo

8. How was your experience while buying the product?*
—Please choose an option—Extremely SatisfiedSatisfiedAverageDisappointedExtremely Disappointed

9. How was your experience while installing the product?*
—Please choose an option—Extremely SatisfiedSatisfiedAverageDisappointedExtremely Disappointed

10. Would you like to receive our newsletter to know more about SCHILLER’s products?*
—Please choose an option—YesNo

If yes, please provide the following details: Email:*

11. Would you like to highlight anything in particular that you liked or did not like?*

This feedback is treated as confidential, and by filling this form, you are giving your consent for SCHILLER to use this data for customer satisfaction analysis.