UniSUC Customer Survey UniSUC Customer Survey The information collected in this survey will be used solely for publication purposes. No individual information or personal identifiers will be disclosed. Participation is entirely voluntary, and there is no penalty for choosing not to participate. A coupon code will be provided for every completed survey, regardless of how you respond or fill out the survey. The distribution of the coupon code is managed separately from your survey responses to maintain anonymity. Your responses will remain confidential and will not be linked to any personal information. The survey is designed to ensure that the incentive does not influence your answers or create any bias. Demographic Questions: Are you an End User or a Caregiver? SelectEnd UserCaregiver User Age <60 years 61 – 70 years 71 – 80 years 80+ years User Biological Gender SelectFemaleMale User Mobility Level SelectImmobileLimited mobilityFull mobility User’s Usage Needs Day Night Check all that apply User 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 alone Protective underwear Medication PureWick Condom Catheter PrimaFit/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 Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied How would you rate your comfort? UniSUC 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimaFit 1 2 3 4 5 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 Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Did the device save you time? UniSUC 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Was the device cost efficient/effective? UniSUC 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Did the device improve sleep? UniSUC 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 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 Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Is the device easy to use? UniSUC 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfiedd Does the device help your dignity? UniSUC 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Did the device reduce urine infections? UniSUC 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Fewer nighttime bathroom trips? UniSUC 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Diapers alone 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PureWick 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied Condom Catheter 1 2 3 4 5 1 = Very Unsatisfied, 5 = Very Satisfied PrimaFit/PrimoFit 1 2 3 4 5 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: 0 of 1000 max characters Submit Start Over If you are human, leave this field blank.
