Sample Evaluation Form

Role

Surgeon Nurse/Tech Purchasing Other

Please rate the product on each point below.

Evaluation Point	Excellent	Good	Acceptable	Poor	N/A
Sharpness
Smoothness of incision/entry
Control and handling
Tip/blade visibility
Packaging / ease of opening
Overall performance

Would you consider using MakEdge again?

Yes Maybe No

Would you like Makvin Surgical to follow up?

Yes No

Thank you! Your evaluation has been submitted.

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