SpiroConnect Customer Satisfaction Survey

This questionnaire will be used as part of our post sales information gathering in an effort to continually improve the MedChip SpiroConnect spirometer and the support and service we provide to our customers.

Name:*

Address:

Organisation:

Telephone:

Email Address:

1. SpiroConnect Details

When did you purchase the SpiroConnect:

Serial Number on SpiroConnect unit or dongle:

2. How satisfied are you with your SpiroConnect?

Please Select

If dissatisfied please explain:

3. Have you had any reason to contact your distributor for information with regard to your SpiroConnect?:

Please Select

How satisfied were you with the response?

If dissatisfied please explain:

4. Have you any further comments you would like to make (either positive or negative) about your SpiroConnect?

Add details below

*Required Fields