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  3. Cavilon™ No-Rinse Skin Cleanser 3380

3M Cavilon™ No-Rinse Skin Cleanser 3380 Template

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3M
™
Cavilon
™
No-Rinse Skin Cleanser
Product
Evaluation Form
3M and Cavilon are trademarks of 3M.
Please recycle. Printed in U.S.A.
© 3M 2013. All rights reserved.
70-2010-8292-5
Critical & Chronic Care Solutions Division
3M Health Care
2510 Conway Avenue
St. Paul, MN 55144
USA
1-800-228-3957
www.3M.com/Cavilon
Name of Evaluator Title Phone Number Date
Health Care Facility Name
Department
Sales Representative
Compared to your usual cleanser – Better Than Equal To Worse Than Not applicable
How effective is Cavilon No-Rinse Skin
Cleanser at cleaning stool?
How effective is Cavilon No-Rinse Skin
Cleanser at cleaning other soil?
Rate the gentleness of Cavilon No-Rinse
Skin Cleanser
Rate the “after-feel” of Cavilon No-Rinse
Skin Cleanser
Rate the scent of Cavilon No-Rinse
Skin Cleanser
Rate the overall performance of Cavilon
No-Rinse Skin Cleanser
Additional Comments
___________________________________________________________________________________________
_________________________________________________________________________________________________________________
Would you recommend your facility purchase Cavilon No-Rinse Skin Cleanser?
Definitely Probably No If no, please explain:
____________________________________________________
Please complete and return this evaluation form to your 3M Critical & Chronic Care Solutions Representative.
Do you currently use a liquid skin cleanser?
Yes No If so, which brand?
____________________________________________________________________________
3M
™
Cavilon
™
NO-RINSE SKIN CLEANSER
/