SOUTH AUSTRALIA AMBULANCE SERVICE NEANN TEK - FIRST AID KIT FEEDBACK FORM
This feed back form is for the NEANN TEK - Drug kit
Name Your Position/ Rank Organisation Years of Service Stationed At
How long has the TEK - Drug Kit been in use?
Approximately how many times has the TEK - Drug Kit been used?
Are you pleased with the finished quality of the TEK - Drug Kit ?
Yes No Unsure
If you answered No or Unsure please outline issues and offer suggestions.
Is the quality of the materials used in the TEK - Drug Kit satisfactory?
Are the zips coping with the work load?
Is the carry handle comfortable to use?
Yes No Unsure If you answered No or Unsure please outline issues and offer suggestions.
Is there enough reflective tape on the TEK - Drug Kit for your safety? Yes No
If you answered No please outline issues and offer suggestions.
Did you use the layout guide to set up the TEK - Drug Kit
Yes No Not supplied with kit
Are you happy with the way how the TEK - Drug Kit opens? Yes No Unsure
Are you pleased with the IV access equipment storage in the TEK - 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 TEK - 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 TEK -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 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 TEK -Drug Kit is value for money?
Is there any other Drug Kit you would now have preferred to purchase?
If you answered yes, please state why.
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
