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UniSUC Customer Survey
UniSUC Customer Survey
Demographic Questions:
Are you an End User or a Caregiver?
Select
End User
Caregiver
User Age
<60 years
61 – 70 years
71 – 80 years
80+ years
Biological Gender
Select
Female
Male
Mobility Level
Select
Immobile
Limited mobility
Full mobility
Usage Needs
Day
Night
Check all that apply
Duration of use
< 1 month
1 to 3 months
3 to 6 months
6 months +
Which of these products have you used prior to UniSUC?
Diapers
Protective underwear
Medication
PureWick
Condom Catheter
Primofit
Foley Catheter
Surgery
Select all that apply
Please compare the various catheters if you have experience with them:
General Satisfaction
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
How would you rate your comfort?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
What was the level of your dryness by the end of use?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Did the device save you time?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Was the device cost efficient/effective?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Did the device improve sleep?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Is the device easy to set up?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Is the device easy to use?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfiedd
Does the device help your dignity?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Did the device reduce urine infections?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Fewer nighttime bathroom trips?
UniSUC
1
2
3
4
5
1 = Very Unsatisfied, 5 = Very Satisfied
PureWick
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Condom Catheter
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
PrimaFit
0
1
2
3
4
5
0 = N/A, 1 = Very Unsatisfied, 5 = Very Satisfied
Specifically for UniSUC, how likely would you do the following?
Will you continue using UniSUC?
1
2
3
4
5
1 = Very Unlikely, 5 = Very Likely
Would you recommend UniSuc to a friend?
1
2
3
4
5
1 = Very Unlikely, 5 = Very Likely
If you have any other comments or feedback you’d like to share, please enter it here:
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