Savant Head Support Resources

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Product Evaluation

Intended for post-market surveillance and feedback.

Name

Position

Email

Phone

Rate Our Product

Excellent

Good

Disappointing

For what condition/context was the Savant Headrest used?

What benefits resulted from use of the product?

Any problems or issues?

Would you recommend and/or reorder the Savant Headrest?

Yes

No

Anything else you would like to add:

Thanks for submitting!

tel: +1.250.537.2177 toll free: 1.800.537.1724 fax: +1.250.537.1998 sales@symmetric-designs.com www.freeformseating.com

Our products should only be prescribed and fitted by qualified health care professionals. Our products are not transport tested or approved for transport and we do not recommend they are used during transport. Custom wheelchair seating cannot be transport approved. Use of our products is at the user or caregiver's own risk. Users of our products should be supervised at all times.

Failure to comply with these warnings could result in serious bodily harm.

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