Produktfeedback - Glycerin Zäpfchen Rösch

New design -
proven recipe

Proven
pharmaceuticals

Customer Survey on Rösch Glycerin Suppositories for Constipation

Vielen Dank, dass Sie an unserer Umfrage teilnehmen und helfen, Glycerin Zäpfchen Rösch stetig zu verbessern.

1. What was the product used for?

Treatment of constipation *

Yes

No information

Other use

2. How often do you currently use Glycerin Suppositories Rösch?

Please select the applicable option: *

Once a day

Every 2–3 days

Every 4–5 days

Every 6–7 days

Less than once a week

Used only once

3. How long have you been using the product?

How long have you been using the product? *

Since

4. Side effects

Burning *

Never occurred

With every use

With every 2nd to 3rd application

Every 4th to 5th use

Less frequently than every 5th use

Other side effects (please specify & frequency as described above):

5. Assessment of effectiveness

Constipation *

Very effective

Effective

Not effective

Worsening

Significant worsening

Symptom not applicable

Symptom:

Other symptoms & effects

Very effective

Effective

Not effective

Worsening

Significant worsening

Symptom not applicable

6. Your satisfaction with the product

Overall satisfaction with the product *

Very satisfied

Satisfied

Neutral

Somewhat dissatisfied

No response

Clarity of the instructions *

Very satisfied

Satisfied

Neutral

Somewhat dissatisfied

No response

7. Do you have any suggestions for improvement or feedback?

Suggestions for improvement or feedback:

8. User information

First and last name of the user *

User's age *

Years

Email address *

Phone number (for delivery service)

Street, house number *

Zip code, city, country *

Do you have training in the medical or health field?

If so, which:

Your safety and the protection of your personal data are very important to us. By submitting this form, you consent to the use of your information for quality assurance purposes in accordance with our Privacy Policy. Your data will be analyzed exclusively in pseudonymized form. This means that in no analysis will your name or other data that could uniquely identify you be linked to your responses or disclosed. You may revoke your consent at any time by emailing bano@bano.at.

I agree to the above consent.*

We would like to thank you for your support and are always available to answer any questions you may have.

Your BANO Team

Fields marked with asterisks (*) are required.