Rural Ambulance Victoria NEANN RAK - RURAL ALS KIT FEEDBACK FORM
This feed back form is for the NEANN RAK - Rural ALS & Drug Kit
Name Your Position / Rank Organisation Years of Service Stationed At
Neann RAK Kit Section
Are you pleased with the finished quality of the RAK?
Yes No Unsure
If you answered No or Unsure please outline issues and offer suggestions.
Is the quality of the materials used in the RAK satisfactory?
Are you pleaed with the new material on the RAK?
Are the zips easy to use?
Are the carry handles comfortable to use?
Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Is the RAK comfortable to carry?
Is the shoulder strap comfortable to use?
Is there enough reflective tape on the RAK for your safety? Yes No
If you answered No please outline issues and offer suggestions.
Are you pleased with the how the RAK opens? Yes No Unsure
Are you pleased with the equipment storage on the internal lid of the RAK? 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 RAK? Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Do you like the movable internal dividers?
Do you like the internal pocket labels (if supplied)?
Yes No Not supplied
Do you like the end BP Cuff pockets?
Do you like the end Sharps Container holder?
Do you like the external lid pocket?
Are you pleased with the layout and functionality of the RAK 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.
Are there any equipment layout and storage changes you would like?
Neann RAK Drug Kit Section
Are you pleased with the finished quality of the RAK - Drug Kit ?
Is the quality of the materials used in the RAK - Drug Kit satisfactory?
Are the zips working okay?
Is the carry handle comfortable to use?
Is there enough reflective tape on the RAK - Drug Kit for your safety? Yes No
Are you pleased with the way how the RAK - Drug Kit opens? Yes No Unsure
Are you pleased with the IV access equipment storage in the RAK - 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 RAK - 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 RAK -Drug Kit 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 RAK - Drug Kit that you have not yet mentioned?
What do you like about the RAK I
Are there any specific improvements you would like to see in the kits?
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 Didn't get a manual
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 RAK? 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:
Name (required) Email (required)
