Show You Care! Get Your "I Care About Patient Safety" Badge Reel.

PDC-TimeMed wristband and label solutions help protect millions of patients from preventable medical errors each year. As "Your Partner in Patient Safety," we'll send you our popular "I Care About Patient Safety" badge reel and a literature packet for completing this brief survey. Thank you for your time and for choosing PDC-TimeMed products to keep patients safe.

It’s easy to get your badge reel. Simply complete this brief survey and click“submit.”

How can we reach you?

*Name:
*Title:
*Organization/Hospital
If Hospital, number of beds?
*Department
*Address:
*City:
	State: Zip:
*Phone:
*E-mail:
Color Choice for Badge Reel	Pink Blue

* = required items.

When evaluating wristband and label solutions, how important are each of the following characteristics?

		Least important			Somewhat important				Most important
		1	2	3	4	5	6	7	8	9	10	N/A
1.	Patient safety
2.	Innovative Products
3.	Inservice/training support from company
4.	HIS System compatibility
5.	Post-sale support
6.	Contract compliance
7.	Pricing & value
8.	Spend management (consolidating vendors, supplies, etc)
9.	Quality
10.	Personal attention from company representative
11.	On-Time Delivery
12.	Complaint resolution