Survey form

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Name *
Company or Organization
Country *
City *
E-mail *
Used equipment *
Serial Number *
Used electrodes *
Used Photostimulator *
Used Software *
HBI Normative database *

Computer characteristics:
Used Computer
Used Operation System

Please, evaluate:
-2 (much worse then I expected)
-1 (worse then I expected)
0 (as I expected)
1 (better then I expected)
2 (much better then I expected)
Hardware remarks

Software remarks

Service remarks

Your supplier
Supplier expirience
Supplier remarks

Where did you got to know
about Mitsar products?
In what new Mitsar developments
are you interesting in?
Your offers