Product Registration

Items denoted by an asterisk ( * ) are required fields.

Representatives are available nationwide to come to your office for a free, no obligation demonstration of all Sota Imaging Products. You can see for yourself how our ergonomically designed, high quality constructed, and easy to use products can benefit your practice.

Simply call us at 1-888-266-SOTA (714-532-6100) or simply complete the form below and our local representative will contact you.

Personal Information

* Product:
* Serial Number:
* Installation Date: / /
* Installed Dealer &
  Sales Person:

Personal Information

* First Name:
* Last Name:
* Office/ Organization
  Name:
* Address:
* City:
* State:
* Zip Code:
* Telephone:
Fax:
E-mail:

How did you first hear about our Sota Imaging products?

By magazine advertisement
From trade shows
(Please specify which trade show: )
Recommendation from other doctors
Through a dealer/retailer/broker
Other

What other brands of digital imaging products have you used?

Yes (If yes please specify brand )
No

How satisfied are you with Claris?

Functions

Value

Design
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable		 Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable		 Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable

Image Quality

Convenience

Overall Satisfaction
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable		 Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable		 Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable
 
Other Comments:

Following questions pertain to service provided by our dealers. Please indicate whether you agree or disagree with the following statements.

Installation procedure

Product Training

Courtesy & Professionalism

Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable		 Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable		 Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable

Product knowledge

Customer Service

Overall Satisfaction
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable		 Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable		 Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Not Applicable
 
Other Comments:

Thank you for your feedback. We sincerely appreciate your honest opinion and will take your input into consideration to provide better products and services in the future. If you have any comments or concerns about this survery please contact at info@sotaimaging.com
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