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Clean Clip™ Pilot Program – Feedback Survey
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As a participant in the Clean Clip™ Pilot Program, your feedback plays a critical role in evaluating the effectiveness, usability, and safety of the device. Please take a few moments to complete this survey. Your responses will help guide future implementation decisions.
Product you're reviewing
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(Select shift?
Serial Number
Date of purchase/acquisition
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i. Work Setting/Industry. Which work setting best describes you?
Healthcare or clinical
Emergency services
Government or public sector
Education or training
Industrial or manufacturing
Prefer not to say
Other
ii. Age Range Which age range best describes you?
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— Select Choice —
Under 25
25–34
35–44
45–54
55–64
65+
iii. Gender Identity How do you describe your gender identity?
Woman
Man
Non-binary
other
Prefer not to say
1. How easy was the Clean Clip™ to use during your regular workday?
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— Select Choice —
Very easy
Easy
Neutral
Difficult
Very difficult
2. How would you rate the dose amount of sanitizer dispensed per use from the Clean Clip™ Device?
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— Select Choice —
Excessive (too much sanitizer)
Slightly more than needed
Appropriate / just right
Slightly insufficient
Insufficient (too little sanitizer)
3. Compared to existing hand hygiene options, did the Clean Clip™ make it easier for you to sanitize your hands when needed?
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— Select Choice —
Significantly easier
Somewhat easier
No difference
Somewhat harder
Significantly harder
4. How often did you use the Clean Clip™ during a typical shift?
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— Select Choice —
Multiple times per hour
Several times per shift
Occasionally
Rarely
Not at all
5. How well did the Clean Clip™ integrate into your daily workflow?
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— Select Choice —
Very well
Well
Neutral
Poorly
Very poorly
6. Did the 40 ml sanitizer cartridge provide sufficient capacity for your typical work shift?
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— Select Choice —
More than sufficient
Sufficient for the full shift
Just sufficient
Insufficient – required replacement
Not applicable
7. How easy was it to replace the sanitizer cartridge when needed?
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— Select Choice —
Very easy
Easy
Neutral
Difficult
Very difficult
8. When cartridge replacement was required, how well did it fit into your workflow?
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— Select Choice —
Seamlessly, no disruption
Minor disruption
Moderate disruption
Significant disruption
Did not replace during shift
9. Did having sanitizer readily available on your person reduce the need to search for wall-mounted or shared dispensers?
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— Select Choice —
Yes, significantly
Yes, somewhat
No noticeable change
Not applicable
10. If given the choice, would you choose to use the Clean Clip™ in addition to existing sanitization stations?
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— Select Choice —
Yes
No
Unsure
Only in certain roles or settings
Other
11. Where did you most often attach the Clean Clip™ during your shift? (Select one primary location)
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— Select Choice —
Scrub top or uniform chest area
Pants waistband or belt
Pocket (inside or outside)
Lanyard
Vest or tactical gear
Bag or equipment strap
12. Why did you choose this placement? (Select all that apply)
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— Select Choice —
Ease of access
Comfort
Stability during movement
Compatibility with PPE or equipment
Habit or personal preference
Other
13. Battery Performance & Charging Satisfaction Based on your experience, how satisfied are you with the Clean Clip™ battery performance and charging longevity?
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— Select Choice —
Excellent – long-lasting with no charging concerns
Very good – occasional charging required
Adequate – required regular attention
Poor – frequent charging needed
Not applicable / unable to assess
Other
14. How confident did you feel in the reliability, durability, and safety of the Clean Clip™ device during use?
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— Select Choice —
Very confident
Confident
Neutral
Not confident
Very unconfident
15. To what extent did the Clean Clip™ device support your compliance with current hygiene protocols?
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— Select Choice —
Not at all
A little
Neutral
A lot
Fully supports
Hand Hygiene Compliance & WHO/IPAC Recommendations
16. Did using the Clean Clip™ increase your confidence in maintaining proper hand hygiene between tasks or patient interactions?
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— Select Choice —
Yes, significantly
Yes, somewhat
No change
Decreased confidence
17. How likely are you to recommend the Clean Clip™ to others who require personal portable hand sanitization?
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— Select Choice —
Very likely
Likely
Neutral
Unlikely
Very unlikely
What did you find most valuable about the Clean Clip™ , and what improvements would you suggest?
Please rate the product
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Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Submit