ANATORX | Field Trial Feedback

Form completion

Customer Information

Basic details about the trial.

Company, date, evaluator and contact details are required. All other responses are optional.

Company Name Date Location / Site Evaluator's Name Application Contact Information

What you're currently using for comparison.

ANATORX Product / SKU Tested Current Product Used Manufacturer Current Product Issues optional

How does the ANATORX product compare to what you use today?

Category	Better	Same	Worse

How long did each product last before it needed replacing?

Current Product

Start Date End Date optional # of Days Used

ANATORX Product

Start Date End Date optional # of Days Used

Based on this trial, would you consider purchasing ANATORX products?

Optional. Include these details in your report for follow-up.

Current PPE Provider optional Rep Contact Information optional

optional

Submit your trial feedback to ANATORX and download a PDF copy. Your responses will be stored for review by authorized staff.