UniSUC Customer Survey UniSUC Customer Survey Survey Information and Consent Thank you for participating in this survey. This study adheres to ethical guidelines for research involving human participants, as outlined in the World Medical Association Declaration of Helsinki.https://www.wma.net/policies-post/wma-declaration-of-helsinki/ Your participation is completely voluntary. You may skip any questions or withdraw from the survey at any time before final submission without any penalty. Data Privacy and Confidentiality:Your responses are collected anonymously, aggregated, and analyzed in a way that ensures no individual identities are ever published or linked to the results. Use of Data:The aggregated data from this survey will be used for scientific research, analysis, and potential publication. It may also be used for commercial or marketing purposes by AlPep LLC. By continuing with the survey, you acknowledge that you have read and understood this information and consent to participate under these conditions. We appreciate your time and valuable input. 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.
