NEANN AEK
ALS EQUIPMENT KIT
FEEDBACK FORM
This feed back form is for the NEANN AEK - ALS Equipment Kit
Name Your Position/ Rank Organisation Years of Service Stationed At
How long has the kit been in use?
Approximately how many times has the AEK been used?
Are you pleased with the finished quality of the AEK?
Yes No Unsure
If you answered No or Unsure please outline issues and offer suggestions.
Is the quality of the materials used in the AEK satisfactory?
Are the zips coping with the work load?
Are the carry handles comfortable to use?
Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Is the shoulder strap comfortable to use?
Yes No Unsure Not Supplied If you answered No or Unsure please outline issues and offer suggestions.
Is there enough reflective tape on the AEK for your safety? Yes No
If you answered No please outline issues and offer suggestions.
Are you pleased with the how the AEK opens? Yes No Unsure
Are you pleased with the equipment storage pockets on the side of the AEK? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Are you pleased with the equipment storage in the main internal compartment of the AEK? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Do you like the removable internal kit concept?
Do you like the pocket labels?
Yes No Not supplied
Do you like the side sharps container holder?
Do you like the layout of the endotracheal kit?
Neann AEK Drug Kit Section
Are you pleased with the finished quality of the AEK - Drug Kit ?
Is the quality of the materials used in the AEK - Drug Kit satisfactory?
Are the zips working okay?
Is the carry handle comfortable to use?
Is there enough reflective tape on the AEK - Drug Kit for your safety? Yes No
Are you pleased with the way how the AEK - Drug Kit opens? Yes No Unsure
Are you pleased with the IV access equipment storage in the AEK - Drug Kit? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Are you pleased with the drug storage in the AEK - Drug Kit? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Do any drugs or equipment fall out of their elastics ?
If you answered yes, please state what.
Are you pleased with the layout and functionality of the AEK -Drug Kit overall? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Neann AEK ETT Kit Section
Are you pleased with the finished quality of the AEK - ETT Kit ?
Is the quality of the materials used in the AEK - ETT Kit satisfactory?
Is there enough reflective tape on the AEK - ETT Kit for your safety? Yes No
Are you pleased with the way how the AEK -ETT Kit opens? Yes No Unsure
Are you pleased with the equipment storage in the AEK - ETT Kit? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Are you pleased with the tube storage in the AEK - ETT Kit? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Does any of the equipment fall out of their elastics ?
Are you pleased with the layout and functionality of the AEK - ETT Kit overall? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Final Comments
Are you pleased with the layout and functionality of the AEK overall? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Are there any other problems that we need to address in the design of the kit that you have not yet mentioned?
Yes No Unsure If you answered Yes or Unsure please outline issues and offer suggestions.
Do you believe the AEK is value for money?
Is there any other Drug & Tube kit you would now have preferred to purchase?
Would you buy off us again in the future? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Did you follow the manual for using and setting up the kit? Yes No Not provided in the kit Would you like a manual sent out to you? Yes No Please indicate your address where we will send the manual to: It will either go via the post, or we can email it. Recipients Name Street Address Suburb/Town/City State Post Code or E-mail to:
Are there any specific improvements you would like to see in the kit?
Please add your personal details below so we can follow up any issues
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