Customer Survey - Preparation for Use There are just 5 short questions which should take no longer than a few minutes of your time - we invite you to make any further comments in the comment box at the end of the survey ... Thank you for your valued participation! OK Question Title * 1. Does the 'Instructions for Use' supplied with the device contain all the information you need? Yes No If No please explain: OK Question Title * 2. Was the device cleaned & sterilised in accordance with HTM 01-01? Yes No If No please advise what process used: OK Question Title * 3. Did the device suffer any adverse reaction to the cleaning processing as above? Yes No If Yes did the ph exceed 12.5? Please explain: OK Question Title * 4. Please add any further comments below: OK Question Title * 5. Please enter your contact details below: Name: Job Title/Profession/Rank: Hospital/Organisation: Contact Number: Email Address: OK DONE