VICTORIAN AMBULANCE SERVICE - RURAL

NEANN FAB
FEEDBACK FORM

 

This feed back form is about the NEANN FAB - First Aid 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 FAB been used?


Are you pleased with the finished quality of the FAB?  

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Is the quality of the textiles used in the FAB satisfactory? 

Yes    No   Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are the zips coping with the work load? 

Yes    No    Unsure

If you answered No or Unsure please outline issues and offer suggestions.


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 backpack harness yet?

Yes     No   

If yes, how many times?

If yes, longest time worn as a backpack? 

Was the harness comfortable?

Yes     No

If you answered No  please outline issues and offer suggestions.


Is there enough reflective tape on the FAB for your safety?

Yes     No 

If you answered No  please outline issues and offer suggestions.


Are you happy with the way how the FAB opens?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Are you pleased with the storage layout of the FAB?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Do you like the internal pocket labels?

Yes No Unsure

If you answered No or Unsure please outline issues and offer suggestions.


If you purchased the ETT Module, are you happy with it?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


If you purchased the IV Access Module, are you happy with it?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


If you purchased the Drug Module, are you happy with it?

Yes    No     Unsure

If you answered No  please outline issues and offer suggestions.


Are you pleased with the layout and functionality of the FAB 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 FAB is value for money?

Yes     No     Unsure

If you answered No or Unsure please outline issues and offer suggestions.


Is there any other First Aid kit you would now have preferred to purchase?

Yes No Unsure 

If you answered No or Unsure please outline issues and offer suggestions.



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     
Please contact me as soon as possible regarding this matter.