UniSUC Customer Survey – UniSUC – Unisex Siphoning Urinary Catheter

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UniSUC Customer Survey

UniSUC Customer Survey

Demographic Questions:

Are you an End User or a Caregiver?

User Age

<60 years

61 – 70 years

71 – 80 years

80+ years

User Biological Gender

User Mobility Level

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:

If you are human, leave this field blank.

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