Product Evaluation Form
3M
TM
Cavilon
TM
Extra Dry Skin Cream
Name of Evaluator
Title
Phone Number
Date
Health Care Facility Name
Department
Sales Representative
Do you currently use a general purpose moisturizing cream?
__Yes __No If so, which brand?___________________________
Compare 3M Cavilon Extra Dry Skin Cream to your usual moisturizer:
Better Than
Equal To
Worse Than
How effective is Cavilon Extra Dry Skin Cream at
moisturizing dry skin?
__ __ __
How effective is Cavilon Extra Dry Skin Cream at
moisturizing severely dry skin?
__ __ __
Rate the ease of application of Cavilon Extra Dry Skin
Cream
__
__ __
Rate the texture of Cavilon Extra Dry Skin Cream
__ __ __
Rate the scent of Cavilon Extra Dry Skin Cream
__ __ __
Rate the overall performance of Cavilon Extra Dry Skin
Cream
__
__
__
Additional Comments __________________________________________________________________
______________________________________________________________________________________
Would you recommend your facility purchase 3M Cavilon Extra Dry Skin Cream?
__ Definitely
__Probably
__No
If no, please explain______________________________________________________________________
Please complete and return this evaluation form to your 3M Representative.
3
Health Care
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USA
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