USER FEEDBACK FORM

Product- Liquid Waste Treatment System

Model No: SWT5
Manufacturer: Newster System S.r.l.

A. User Information

Facility name: Dhading Hospital

Address: Dhading
Name of the person providing
the feedback:
Designation of Feedback
Provider:
Serial number of the 020
machine:

B. Feedback Questionnaire (Please tick)

SN Questionnaire Answer
SWT5
What is the model number of the
equipment you are using for the
1
liquid waste management from
Newster System S.r.l.?
1-3 years
Since when you are using this
4-7 years
2 equipment for Liquid waste
8-10 years ☐
treatment?
More than 10 years ☐
0-30 minutes ☐
How long do you have to run the 31-60 minutes ☐
3
machine? 61-90 minutes ☐
More than 90 minutes ☐
How many cycles of liquid waste 0-7 Cycles ☐
4 treatment is performed with this 8-14 Cycles ☐
equipment every day? More than 15 Cycles ☐
How many times did you report 0-3 times ☐
breakdown or other performance 4-7 times ☐
5
issues related to this machine 8-10 times ☐
since installation? More than 10 times ☐
How long does it take to get the 0-24 Hours ☐
6 machined repaired after a 25-72 Hours ☐
breakdown incidence is reported? More than 72 hours ☐
Did the manufacturer or supplier Yes ☐
provided proper training
7
associated with the operation of No ☐
this equipment?
How complicated the users of this Not complicated ☐
8 machine feel to operate this Moderately complicated ☐
equipment on daily basis? Very complicated ☐
 USER FEEDBACK FORM

Overall, how satisfied are you with Very satisfied ☐

9 the performance of this Satisfied ☐
equipment? Not Satisfied ☐

10 Are there any hazards associated

with the operation of this machine? None
Please mention
Do you have any other comment
regarding the machine that you NA
11
would like to share with us

THANK YOU FOR PROVIDING VALUABLE FEEDBACK!!!

We hereby confirm that the Liquid waste Treatment system provided by the Manufacturer Newster
System S.r.l., model no: SWT5 and serial no. 020 is running successfully till date.

…………………………………….

Dhading Hospital
USER FEEDBACK FORM

Date: 23/05/2081.
 USER FEEDBACK FORM

Product- Liquid Waste Treatment System

Model No: SWT5
Manufacturer: Newster System S.r.l.

User Information

Facility name: Trishuli Hospital

Address: Nuwakot
Name of the person providing
the feedback:
Designation of Feedback
Provider:
Serial number of the 021
machine:

Feedback Questionnaire (Please tick)

SN Questionnaire Answer
SWT5
What is the model number of the
equipment you are using for the
1
liquid waste management from
Newster System S.r.l.?
1-3 years
Since when you are using this
4-7 years
2 equipment for Liquid waste
8-10 years ☐
treatment?
More than 10 years ☐
0-30 minutes ☐
How long do you have to run the 31-60 minutes ☐
3
machine? 61-90 minutes ☐
More than 90 minutes ☐
How many cycles of liquid waste 0-7 Cycles ☐
4 treatment is performed with this 8-14 Cycles ☐
equipment every day? More than 15 Cycles ☐
How many times did you report 0-3 times ☐
breakdown or other performance 4-7 times ☐
5
issues related to this machine 8-10 times ☐
since installation? More than 10 times ☐
How long does it take to get the 0-24 Hours ☐
6 machined repaired after a 25-72 Hours ☐
breakdown incidence is reported? More than 72 hours ☐
Did the manufacturer or supplier Yes ☐
provided proper training
7
associated with the operation of No ☐
this equipment?
How complicated the users of this Not complicated ☐
8 machine feel to operate this Moderately complicated ☐
equipment on daily basis? Very complicated ☐
 USER FEEDBACK FORM

Overall, how satisfied are you with Very satisfied ☐

9 the performance of this Satisfied ☐
equipment? Not Satisfied ☐

10 Are there any hazards associated

with the operation of this machine? None
Please mention
Do you have any other comment
regarding the machine that you NA
11
would like to share with us

THANK YOU FOR PROVIDING VALUABLE FEEDBACK!!!

We hereby confirm that the Liquid waste Treatment system provided by the Manufacturer Newster
System S.r.l., model no: SWT5 and serial no. 021 is running successfully till date.

…………………………………….

Trishuli Hospital

Date: 23/05/2081.