Full Face Mask Fit Assessment Form
Please evaluate the fit, comfort, and performance of your full face mask. Your feedback will help ensure optimal safety and comfort.
How well does the mask fit your face overall?
*
Excellent fit
Good fit
Acceptable fit
Poor fit
How comfortable is the mask when worn for an extended period?
*
Very comfortable
Somewhat comfortable
Neutral
Uncomfortable
Does the mask maintain a proper seal during use?
*
Always
Most of the time
Sometimes
Rarely or never
Rate the following aspects of the mask fit and function:
*
Rows
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Ability to speak clearly
1
2
3
4
5
Ability to breathe easily
6
7
8
9
10
Field of vision
11
12
13
14
15
Pressure points or discomfort
16
17
18
19
20
Ease of donning and doffing
21
22
23
24
25
How easy is it to adjust the mask straps for a secure fit?
*
Very easy
Somewhat easy
Neutral
Difficult
How would you rate the overall quality of the mask materials?
*
1
2
3
4
5
Did you experience any air leaks while using the mask?
*
No leaks at all
Minor leaks, easily corrected
Frequent leaks
Major leaks, cannot correct
How likely are you to recommend this mask to others?
*
Not likely
1
2
3
4
Extremely likely
5
1 is Not likely, 5 is Extremely likely
Would you use this mask again for similar tasks?
*
Yes
Maybe
No
Additional comments or suggestions
Submit Assessment
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