QUEENSLAND AMBULANCE SERVICE NEANN OBR FEEDBACK FORM
This feed back form is for the NEANN OBR - Entonox Unit
Name Your Position/ Rank Organisation Years of Service Stationed At
How long has the kit been in use?
Approximately how many times has the OBR been used?
Are you pleased with the finished quality of the OBR?
Yes No Unsure
If you answered No or Unsure please outline issues and offer suggestions.
Is the quality of the materials used in the OBR 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.
Have you used the Shoulder Strap yet? Yes No If yes, how many times? If yes, longest time carried on the shoulder?
Was the shoulder strap comfortable? Yes No
If you answered No please outline issues and offer suggestions.
Are you pleased with the Stretcher Attachment clip-straps?
Is there enough reflective tape on the OBR for your safety? Yes No
Are you pleased with the way how the OBR opens? Yes No Unsure
Are you pleased with the amount of storage room of the OBR for the Entonox equipment? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Are you pleased with the internal face mask pockets?
Do you believe the OBR - Entonox requires removable external pouch for equipment storage? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Is the window over the oxygen regulator effective for seeing the entonox level on the gauge? Yes No Unsure
Are you pleased with the straps to hold the entonox cylinder Yes No Unsure
Is it easy to change the entonox cylinder Yes No Unsure
Are you pleased with the layout and functionality of the OBR 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 OBR is value for money?
Is there any other entonox unit 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
Name E-mail Tel FAX
