USER QUESTIONNAIRE

NOTE!!!
This questionnaire refers to equipment purchased after 30.06.2007 only!
If you fill in this questionnaire (following at least 6 months since you started using the device) and send it to the manufacturer’s address (prior to your warranty expiry date) your
WARRANTY SHALL BE EXTENDED FOR THE NEXT 12 MONTHS!!!
You may also download this questionnaire by clicking the below link, fill it in and send it to marketing@wamed.pl or let it be filled in by our consultant during a phone conversation, phone no.
+48 22 811-75-51 lub +48 22 675-71-56.

  - USER QUESTIONNAIRE


We kindly inform you that your personal data shall be processed by WAM WAMED with registered office in Warsaw, ul. Odrowąża 9 only for the purpose of order processing, data identification and order delivery process. You are not obliged to submit your data; however, you need to provide specific data when you place an order or if you fill in the questionnaire or the request form. You shall be entitled to access and modify your data at any time.
Privacy Policy

USER QUESTIONNAIRE

Form code SA 01
03 Update as of 20-06-07
User Quesyionnaire
If you fill in this questionnaire (following at least 6 months since you started using the device) and send it to the manufacturer’s address (prior to your 12 month warranty validity period termination ) your
WARRANTY SHALL BE EXTENDED FOR THE NEXT 12 MO
*TYPE OF EQUIPMENT 
*Nr 
*Supplier 
Mark 1 to 5 with a cross (X), assuming that a 1 reflects the lowest and a 5 the highest rating.
*1.How do you assess our order processing and equipment delivery?  1
2
3
4
5
*2.How do you assess our equipment servicing?  1
2
3
4
5
3.How do you assess our user manual?  1
2
3
4
5
*4.How do you assess the equipment reliability?  1
2
3
4
5
*5.In the event the equipment was serviced (repaired), how to you assess our service quality:  1
2
3
4
5
*6.Specify in general if the equipment meets your expectations?  1
2
3
4
5
7.What other functions would you find useful in your equipment? Describe briefly: 
8.Are you interested in our other products (www.wamed.pl)? If yes, please type in your phone no. and address. 
*Equipment user data: 
*Address: 
*e-mail: 
Thank you for taking your time to fill in the questionnaire, which will help us meet your expectations.
*) - field required
Please rewrite code from the image below:
Wytwórnia Aparatury Medycznej WAMED SSP
03-310 Warszawa ul. Odrowąża 9