3M Cavilon™ Antifungal Cream Template

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3M
Cavilon
Antifungal Cream
Product
Evaluation Form
Name of Evaluator Title Phone Number Date
Health Care Facility Name
Department
Sales Representative
Please rate Cavilon Antifungal
Cream on the following features:
Excellent Very Good Good Fair Poor
Effectiveness in resolving symptoms
Ease of application
Skin protection from urine
Skin protection from feces
Please compare Cavilon Antifungal
Cream to your current product:
Much Better Better As Good Worse Much Worse
Overall performance
Would you recommend your facility purchase Cavilon Antifungal Cream?
Definitely Probably No If no, why?
____________________________________________________________
Please complete and return this evaluation form to your 3M Critical & Chronic Care Solutions Representative.
3M
Cavilon
ANTIFUNGAL CREAM
3M and Cavilon are trademarks of 3M.
Please recycle. Printed in U.S.A.
© 3M 2013. All rights reserved.
70-2010-8291-7
Critical & Chronic Care Solutions Division
3M Health Care
2510 Conway Avenue
St. Paul, MN 55144
USA
1-800-228-3957
www.3M.com/Cavilon
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