Skip to content
Submit
Close search
Home
Shop Online
Dealers
expand
collapse
Dealers
International
US
Clinical Articles
Media
Certifications
Contact
Español
expand
collapse
Español
Inicio
Artículos
Distribuidores
Medios
Eventos
Contáctenos
PeriAcryl SDS/IFU
expand
collapse
PeriAcryl SDS/IFU
PeriAcryl SDS Sheet
PeriAcryl90 USA IFU
PeriAcryl90 High Viscosity USA IFU
Save Time. Save Money. Simplify Your Surgeries. REQUEST A FREE SAMPLE
Home
Shop Online
Dealers
expand
International
US
Clinical Articles
Media
Certifications
Contact
Español
expand
Inicio
Artículos
Distribuidores
Medios
Eventos
Contáctenos
PeriAcryl SDS/IFU
expand
PeriAcryl SDS Sheet
PeriAcryl90 USA IFU
PeriAcryl90 High Viscosity USA IFU
Submit
Search
Log in
Cart
Cart
expand/collapse
Feedback
*
indicates required field
Name
*
Email
*
#1. Are you satisfied with the performance of the product format that you purchased?
*
1 - Not Satisfied
2
3
4
5 - Very Satisfied
#1b. Can you think of any ways the adhesive could be improved? Set time, texture, durability, flexibility, etc?
#2. Do you feel confident in the safety and effectiveness of the product?
*
1 - Not Confident
2
3
4
5 - Very Confident
If no, how can we increase your confidence in the safety and effectiveness of PeriAcryl?
#3. Are you happy with the delivery systems we have available? I.e. the multi-use bottle and the pipettes, and/or the single-use pre-loaded pipettes?
*
1 - Not Happy
2
3
4
5 - Very Happy
#3b. If no, please suggest any products improvements you would like to see us make.
#4. How likely are you to recommend PeriAcryl to a colleague?
*
1 - Not Likely
2
3
4
5 - Very Likely
#5. When you order PeriAcryl are you confident that you will receive your order in a timely manner?
*
1 - Not Confident
2
3
4
5 - Very Confident
Please share any other information with us regarding PeriAcryl. Such as, how you are using the product, why you like or dislike the product, your favorite situations where you find PeriAcryl to be useful...etc.
I consent to receiving communications from Glustitch Inc. Please let us know all the ways you would like to hear from us
*
Email
Direct Mail
Customized Online Advertising
I have read and agree to your
privacy policy
z