Relequa Questionnaire

* = Required Field

Personal Details
Q1

please select one

Q2

please select one

Q3

Please select all that apply

Q4
Q5
Q6

(From 1 - 5 with 1 being highly valuable)

Q7

If NO, please go direct to Question 8.

(b) Given that Relequa is physically robust, can record data, & that each tube contains a HPDE pharma grade bottle, would you:
Q8 What criteria would you use in advance of purchasing a product like Relequa?

(from 1 - 5 with 1 being the most important)

Q9 If Relequa provides a solutions to your problems, please indicate how many units would be required and the timescales?
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