.

Evaluation of the clinical effectiveness and safety of the FLOW-COLOR medical device

Dear Sir/Madam,


Please take a few minutes

to complete the following survey.

Secured
Survio
Create a survey
Evaluation of the clinical effectiveness and safety of the FLOW-COLOR medical device

Please be informed that your data obtained as a result of previous contacts with ARKONA Laboratorium Farmakologii Stomatologicznej Grzegorz Kalbarczyk (hereinafter referred to as ARKONA) is stored in the ARKONA Contractor Database, which is the administrator of your personal data. Details regarding ARKONA's personal data protection policy are available at https://arkonadent.com/wp-content/uploads/2020/10/arkonadent.com-polityka-prywatnosci.pdf. If you would like to obtain detailed information about the rules and purposes of ARKONA's processing of your personal data, please contact us at the following e-mail address: polityka.prywatnosci@arkonadent.com or at the postal address Nasutów 99C, 21-025 Niemce, Poland.

Doctor's personal details, professional licence number

Please provide your first name, surname and professional licence number. Please be aware that your personal data will not be collected, processed or disseminated without your knowledge and consent. It will only be used to confirm that the survey has been completed by an authorised person.

Address of the dental clinic/ practice

Stwórz ankiety online za darmo ✓ Survio pomoże Ci
Evaluation of the clinical effectiveness and safety of the FLOW-COLOR medical device

Since when have you been using the FLOW-COLOR medical device ?

Select one answer

How often do you use FLOW-COLOR in your practice?

Select one answer

Which FLOW-COLOR shades have you used in your practice?

Please indicate all the shades you have used at least once in your practice

Arrange the FLOW-COLOR shades in order from most frequently used to least frequently used

Reorder the items according to your preferences (1 – most important, last – least important)

For which clinical indications do you use the FLOW-COLOR medical device?

Please mark the indications for which you have used the product (you can mark any number of indications):

What other indications?*

How would you assess the volume (1 g) of material in the FLOW-COLOR single package?

Select one answer

Have you ever used the FLOW-COLOR medical device on:

Choose one answer in each line

How would you assess the clinical effectiveness of the FLOW-COLOR in terms of the clinical results that can be achieved?

1 – very low, 5– very high

Any other indications?*

If you use the FLOW-COLOR product for indications other than those mentioned above, please describe them below and provide a rating (on a scale of 1-5)

How do you assess the durability of the FLOW-COLOR product, i.e., how long does it remain in the patient’s oral cavity?

Select one answer in each line

How do you assess the durability of FLOW-COLOR in the patient’s mouth compared to other materials of this type?

Select one answer

What are the main factors, in your opinion, that most affect the durability of the material in the patient’s mouth?

Select up to 3 answer

How do you assess the following usability features and properties of the FLOW-COLOR?

(1 – very low, 5 – very high)

How would you assess the information contained on the FLOW-COLOR label or in the instructions for use (indications, method of use, contraindications, side effects, warnings, etc.), i.e. is it complete, sufficient and understandable?

The answer NO should be justified by explaining what information is missing or unclear.

What is understandable or missing?*

Has it ever happened during your professional practice that FLOW-COLOR:

Select one answer in each line:

Have you ever observed any adverse reactions after using the FLOW-COLOR?

The answer YES must be explained.

What adverse reactions have been observed?*

Do you consider FLOW-COLOR to be safe for the clinical indications described in the instructions for use?

The answer NO should be explained.

Why do you think that FLOW-COLOR is not to be safe for the clinical indications described in the instructions for use?*

Do you have any other comments, suggestions or ideas regarding the FLOW-COLOR that would help us improve it? (e.g. a different applicator, larger packaging, different packaging, etc.)

Stwórz ankiety online za darmo ✓ Survio pomoże Ci
Thank you for your time and your feedback.
Share this survey to help us get more responses.