New FreeArm - Hospital Survey

Name

First Name

Last Name

1. Is the arm a helpful length? *

Yes

No

2. Does the arm loosen from the clamp after multiple uses? *

Yes

No

3. Does the flower screw holding the arm into the clamp loosen and fall out? *

Yes

No

4. Is it easy to switch between the peg and clamp ends? *

Yes

No

5. Did you attach your FreeArm to flat surfaces and rounded bars with the clamp and use the FreeArm with the peg inside the OmniBed? *

Yes

No

6. Did the FreeArm work well on different surfaces and in the incubator? *

Yes

No

7. Did the FreeArm clip work well with different syringe sizes? *

Yes

No

9. Are the directions clear and easy to understand? *

Yes

No

11. Do you have suggestions for improvements? *

Yes

No