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Serial number |
(Last 4 digits of the lot number) |
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Customer Information
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First Name * | |
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Last Name * | |
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Company Name | |
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E-mail * | |
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Phone Number | |
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Address * | |
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Apt/Suite/Floor | |
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City * | |
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ZIP * | |
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Country * | |
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State * | |
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What is your title or position? | |
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About Product
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Where did you purchase this Tanita Product? | |
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Where did you hear about us? | |
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Select facility type: | |
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Which ONE of the following was the most important factor that influenced your selection of this Tanita product compared to other available products? | |
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How many patients, per scale, do you weigh on an average day? | |
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How many scales does your facility have? | |
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How often do you move your scale (weekly)? | |
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Do you calculate Body Mass Index (BMI)? | |
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How satisfied are you with each the following Tanita product attributes? | |
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Product design | |
Overall satisfaction | |
Weight capacity | |
Features | |
Ease of use | |
Accuracy | |
How likely are you to recommend Tanita to your family and friends? | |
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Internet survey |
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Telephone survey |
Mail survey |
Testimonials |
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Tanita body fat / body composition monitors |
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Tanita kitchen scales |
Tanita hand-held healthcare products |
Other, specify |
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Any additional comments or remarks? | |
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Yes, I'd like to receive periodic information on fitness and health measurement to help me lead a healthier life, as well special offers on healthy lifestyle products from Tanita. |
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