Importer / Distributor Feedback Form

We value feedback from your clients and partners to help us improve

Importer or Distributor *ImporterDistributor

Name *

Brand *

LipoTxNouvag

Designation *

Lot Reference No. (if Feedback with respect to batch)

Company Name *

Region of Distribution *

Address *

Any Other Comments

Email *

Device / Item Name * (Product Ref. No. / Product Name)

Ease of Use (Device)*

Compatibility with other devices*

Effectiveness in intended purpose*

Product Range (Variants of device)*

Overall To Similar Or Equivalent Devices*

Overall Build Quality*

Quality of Documents (Labelling & IFU's)*

Packaging Integrity*

Sterility*

Shelf Life*

End User Satisfaction*

General User Feedback*

Market Acceptance*

Delivery Quality*

Concerning Experience (products / Deviations or performance)

Any adverse events related to the device