Feedback Device Evaluation Form
Please provide your feedback on the device you used. Your responses will help us improve device quality and user experience.
Device Name or Model
*
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How would you rate the overall performance of the device?
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1
2
3
4
5
How reliable was the device during your use?
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Very reliable
Somewhat reliable
Neutral
Somewhat unreliable
Very unreliable
How easy was it to use the device?
*
Very easy
Somewhat easy
Neutral
Somewhat difficult
Very difficult
Did you encounter any issues or malfunctions?
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No issues
Minor issues
Major issues
Please describe any issues or malfunctions encountered (if any).
What did you like most about the device?
What improvements would you suggest for this device?
Department or Team (optional)
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