Ultrasound CAS Demo Report Demo or Lunch & LearnDemoLunch & LearnClinical Applications Specialists (CAS) Contact InformationCAS Name* First Last CAS Email* Supporting CAS Name Demo Start Date* MM slash DD slash YYYY Demo End Date* MM slash DD slash YYYY Facility Name* Facility Address, City and State* Street Address City State / Province / Region Facility Contact Phone Number*Facility Administrator Contact Facility Administrator Contact Email Address Lead Technologist Name* Lead Technologist Email Address Sales Representative* Sales Representative Email Service Representative Ultrasound Segment*Select OneWomen's HealthRadiologyPOCVetDirect or Dealer Partner*Select OneDirect - RobDirect - AmyRad DealerPOC DealerChoiceWH Dealer or Direct*Select OneDirect-Amy/JeanDirect RobMCSExcelMMICPMIPremierLegacyWH Segments*Select OneMFMOB/GYNREIL&DPregnancy ResourceUrologyPediatric CardiologyFetal SurgeryRadiology Dealer*Select OneCommonwealth X-RayExcelMid-South Medical ImagingMidwest Medical Imaging CorpRadSourceRPSPOC Dealer*Select OneAvanteMMICChoiceWH -Ultrasound System*Select OneHera i10Hera W10Hera W9V8V7WS80HS70HS60HS50HS40HM70 EVORS85Rad-Ultrasound System*Select OneRS85 PrestigeRS85V8V7HS60HS50HS40HM70 EVOPOC Ultrasound System*Select OneRS85 PrestigeV8V7HS60HS40HM70 EVOVet Ultrasound System*Select OneRS85 PrestigeRS85V8V7HS30HS40HS50HS60HM70 EVOSystem DetailsDemo System Identification Details*Select OneTech TransDealer UnitDirect Team UnitOtherOther System Serial Number* (Complete with concern ONLY) Service Concerns with Demo EquipmentSystem SW Level* Technologists and Physicians Present*Demo Overview of "Why" the Demo was Done*Demoed Features and Transducers*Current Customer Equipment*Customer PAC's system*Competitive Information Learned During Demo*Perceived Strengths and Wows*Concerns/IssuesCustomer Concerns with System to move forward with Purchase. i.e. Lack of Post Processing.*Customer Concerns Separate From System i.e. Service, Education, etc.*Outcome Impression of Demo*Perceived Customer Satisfaction of Demo*Select OneExtremely DissatisfiedDissatisfiedNeitherSatisfiedExtremely SatisfiedCAPTCHA Δ