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Please answer each question.
Rating Scale:
5= Very Good | Very Comfortable | Very Soft
4= Good | Comfortable | Somewhat Soft
3= Neutral
2= Poor | Uncomfortable | Somewhat Scratchy
1= Very Poor | Very Uncomfortable | Very Scratchy
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| Which Version Are You Providing Feedback For? |
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D1
D2
D3
D4 |
| Name: |
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| Hours Worn: |
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| During the testing you were mostly: |
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Worked with hands some
Worked with hands a lot
Did not work with hands |
| Comments |
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| How easy was the garment to put on? |
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5
4
3
2
1 |
| Comments |
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| How easy was the garment to take off? |
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5
4
3
2
1 |
| Comments |
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| How soft or scratchy did garment feel in your hand? |
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Very soft
Somewhat soft
Neutral
Somewhat scratchy
Scratchy |
| Comments |
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| How soft or scratchy did garment feel when worn? |
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Very soft
Somewhat soft
Neutral
Somewhat scratchy
Scratchy |
| Comments |
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| When worn, how did the garment make your hand feel? |
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Hot
Warm
Comfortable
Cool
Cold |
| Comments |
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| How tight or loose was the garment on your hand? |
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Too Tight
Slightly Tight
Normal
Slightly Loose
Too Loose |
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| How tight or loose was the garment on your fingers |
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Too Tight
Slightly Tight
Normal
Slightly Loose
Too Loose |
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| How tight or loose was the garment on your wrist? |
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Too Tight
Slightly Tight
Normal
Slightly Loose
Too Loose |
| Comments |
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| Do you feel that this garment covered your fingers properly? |
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Yes
No
Not Sure |
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| Do you feel that this garment covered your palm properly? |
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Yes
No
Not Sure |
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| Do you feel that this garment covered your wrist properly? |
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Yes
No
Not Sure |
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| If you answered "Not Sure" please explain: |
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| During wear test, did the garment slide down on your fingers? |
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Never
Minimally
Yes, a little
Yes, a lot |
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| How far (inches)? |
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| During wear test, did the garment bunch up on your palm? |
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Never
Minimally
Yes, a little
Yes, a lot |
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| During wear test, did the garment slide "up" or "down" on your wrist? |
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Never
Minimally
Yes, a little
Yes, a lot |
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| If so,why do you think it slid "up" or "down"? |
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Band too lose
Garment too lose
Garment too long
Garment too short
Other reason(explain) |
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| Other Reason/Comments: |
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| How far (inches)? |
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| How do you rate the overall length of this garment? |
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5
4
3
2
1 |
| Comments |
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| Did the wrist band cause any irritation or leave markings? |
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Yes, irritated and left marks
Yes, irritated but no marks
Yes, left marks but no irritation
No, neither marks nor irritation |
| Comments: |
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| If you experienced swelling before wearing this garment, do you feel the glove helped? |
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Yes
No
No Change
Not Applicable |
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| If you experienced pain before wearing this garment, do you feel the glove helped? |
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Yes
No
No Change
Not Applicable |
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| What was your overall satisfaction of fit & comfort for this garment? |
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5
4
3
2
1 |
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| What did you like most about this product? |
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| What did you like least about this product? |
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| If prescribed by a physician, would you wear this product? |
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Yes.
No. |
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| If you answered NO, why would you not wear? |
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| Have you ever worn a product like this before? |
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Yes
No
Previous Wear-Test |
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