Rural Ambulance Victoria
NEANN OBT FEEDBACK FORM
This feed back form is for the NEANN OBT - RAV Issue
Name Your Position/ Rank Organisation Years of Service Stationed At
How long has the kit been in use?
Approximately how many times has the OBT been used?
Are you pleased with the finished quality of the OBT?
Yes No Unsure
If you answered No or Unsure please outline issues and offer suggestions.
Is the quality of the materials used in the OBT 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 OBT comfortable to carry?
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.
Is there enough reflective tape on the OBT for your safety? Yes No
Are you pleased with the way how the OBT opens? Yes No Unsure
Are you pleased with the storage layout of the OBT? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Would you like to see any other equipment stored in the OBT?
If you answered Yes please list and state why.
Are you pleased with the removable external pouch? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Are you pleased with the storage of the closed circuit in the external pouch? Yes No Unsure
Are you pleased with the straps to hold the oxygen cylinder Yes No Unsure
Is it easy to change the oxygen cylinder? Yes No Unsure
Are you pleased with the layout and functionality of the OBT overall? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Do you like the material on the OBT for cleaning? Yes No Unsure
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 OBT is value for money?
Is there any other Oxygen 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 by RAV
Did the manual provide enough information for you? Yes No
If you answered No what additional information would you have liked covered. If you did not get a manual, would you like a manual sent out to you? Yes No
Have you seen the Powerpoint presentation on the OBT? 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
