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1. Product

Product: Which item are you evaluating?

2. Product Ratings

Please rate each attribute from 0 (Poor) to 10 (Excellent).

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(Adheres to Medical Needs)

3. Purchase & Recommendation

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Will your practice stock or reorder this product?

4. Support & Resources

Which resources would help you succeed? (Select all that apply)

5. Additional Feedback

6. Contact Information (optional)

Thank you for your time and insights!