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Patient Evaluation Form

Continence appliance review form

Here at Spirit Health, we aim to support the NHS in continuing to deliver quality patient care. Your feedback matters. By taking a few minutes to complete this form we’ll use your valuable feedback. Please complete the following fields:

"*" indicates required fields

Please tick which SpiritCare product(s) you use?*

Packaging – I found the packaging:

Easy to open?*
Clear label and sizing?*
Relevant information enclosed?*

Product – I found the product:

Comfortable when is use?*
Easy to use?*
Felt secure?*
Did the product work as expected?*
Are you happy for us to contact you for a testimonial or case study?*

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Spirit

Spirit House
Saffron Way
Leicester
LE2 6UP
United Kingdom

T: +44 (0) 800 881 5423 E: info@spirit-health.com
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