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Customer questionnaire on Silver Nitrate Caustic Sticks/SILVERIN® products

Thank you for taking part in our survey and helping us to continuously improve SILVERIN®.

Which product did you buy?
2. Are you a doctor, healthcare professional, or layperson?

If you are a layperson, please ignore all questions regarding patients.

3. For which application was the product used?
Number of patients treated per year
Number of patients treated per year
Number of patients treated per year
Number of patients treated per year
Number of patients treated per year
Number of patients treated per year
Number of patients treated per year
Number of patients treated per year
Number of patients treated per year

If you are a non-professional user, please ignore all questions relating to patients.

4. How often do you currently use SILVERIN®?
5. Side effects
at approx. % of patients
at approx. % of patients
at approx. % of patients
at approx. % of patients
at approx. % of patients
at approx. % of patients
at approx. % of patients
at approx. % of patients
at approx. % of patients
at approx. % of patients
at approx. % of patients
6. Assessment of efficacy
Symptom:
7. Your satisfaction with the product
8. Do you have any suggestions for improvement or feedback?
9. Additional information for lay users
Age of the patient: Year
10. User Information
Age: years

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 the 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 sending an email to bano@bano.at.

We thank you for your support and are always available to answer your questions.
Your BANO team

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