Review Express

Please complete the following survey in order to use the Review Express application. We use this information to continually improve our products for our customers. Once this form is submitted, you will be able to download your defibrillator data, review event and patient data, and generate a Quick Report.
* Indicates required field.

PERSONAL INFORMATION
* First Name
*Last Name
*Position/Title
*Company/Institution
*Address
*City
*State
*Post/Zip
*Telephone
*Email

QUESTIONS

1. How many defibrilators are used by your organization?

2. What type of AED and/or defibrillator are you using?
FR- Forerunner
FR2 - Forerunner 2 (all versions)
HS1 - HeartStart (all versions)
XL/XLT or Laerdal 4000
Laerdal Heartstart 3000
Laerdal 911
Other - not listed

3. Do you share ECG data with others?

4. How many people review and/or manage this data?

5. Do you e-mail the data or use the Intranet (or server) for data sharing?

6. Who else in your organization reviews ECG data? Please provide their job title and department.

7. Please check each of the following functions that you use to process ECG and case data:
Download and transfer data
Play back audio
Input additional patient and event data
Annotate data with comments
Review data
Generate and print data reports
Share data with others
Archive data for future use
Merge ECG data recorded on multiple devices

8. Please check each of the following reporting functions that you would find valuable for ECG data.
Standard pre-defined reports for each patient
Varied pre-defined reports detailing ECG, event, and case data for each patient
Query reports based on multiple events and patients for data trending
Utstein reports

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