Ultrasound Parts, Probes and Equipment

Local: 303-384-3246
Toll Free: 877-386-3246


	System Installation Feedback Facility Name: Address 1: Address 2: City: State: Zip Code: Contact Name: Contact Phone: Contact E-mail: Date of Install: Service Engineer: Type of system installed: Manufacturer: System Model: Was system cosmetically acceptable? Yes No Did Unisyn call to confirm appointment within 2 hours of service request (may not be a service engineer; could be a dispatcher)? Yes No Did the Service Engineer arrive on time? Yes No Did the Service Engineer project a professional image (was he/she dressed appropriately; did they act professionally; etc.)? Yes No Did the Service Engineer appear to be knowledgeable about the system and/or problem(s)? Yes No Did the Service Engineer conduct a thorough test of the system, ensuring proper operation? Yes No Did the system include all hardware, probes, peripherals, and options as stated on purchase order? Yes No Did the Applications Specialist effectively train your clinical staff on using the system? Yes No Did the Applications Specialist address all desired training requirements? Yes No Did the Service Engineer provide a complete Installation Report? Yes No Would you recommend Unisyn to other customers interested in a system purchase? Yes No What is your overall grade for this installation? Excellent Good Average Poor Bad Any Additional Comments?

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