The Insides® Neo Product Evaluation Questionnaire for Healthcare Professionals
Hospital: *
HCP Name:
 *
Date
 *
MM
/
DD
/
YYYY

Are you currently practising Chyme Reinfusion Therapy / Mucous Refeeding (recycling) in your facility?

 *

What patient condition prompted you to use The Insides® Neo?

 *

Could you describe your experience of using The Insides® Neo on your patient?

 *

-       Feedback on set up

-       Feedback or comments on recycling process

-       Changing Ostomy and Insides Neo

-       Did you recycle manually or via a syringe pump 

Are there any extra resources that The Insides Company could provide to assist with teaching your team and supporting your patient and their family?
 *
Could you comment on the nursing workflow of using The Insides® Neo?
 *
Positives(Noticeable improvements) or Negatives(areas to improve)
Overall, how satisfied are you with The Insides® Neo?
 *
Not Satisfied
Very Satisfied
How would you compare to your current practice? *
How likely are you to recommend The Insides® Neo to your colleagues?
 *
Not Likely
Very Likely
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Insides Company. Report Abuse
Google Forms