Please circle the most appropriate answer for each question.  Not applicable (N/A) may be used if the question does not apply to this particular product.

Agree             Disagree

1.       The container’s shape, its markings, or its color, imply danger which can be understood by visitors, children, and patients.

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N/A

2.       The implied warning of danger can be seen from the angle at which people commonly view it (including very short people, people in wheel chairs, children, etc.).

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5

N/A

3.       The container can be placed in a location that is easily accessible during procedures using sharps.

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N/A

4.       The container’s purpose is self-explanatory and easily understood by a worker who may be pressed for time or unfamiliar with the clinic setting.

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N/A

5.       The container can accept sharps from any direction desired.

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N/A

6.       The container can accept all sizes and shapes of sharps.

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5

N/A

7.       The container is temporarily closeable, and will not spill contents, even after being dropped down a flight of stairs.

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N/A

8.       The container allows single handed operation.  (Only the hand holding the sharp should be near the container opening.)

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N/A

9.       It is difficult to reach in and remove a sharp.

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N/A

10.   Sharps can go into the container without getting caught on the opening or any molded shapes in the interior.

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N/A

11.   The container can be placed within arm’s reach.

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N/A

12.   The container is puncture resistant.

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N/A

13.   When the container is dropped or turned upside down (even before it is permanently closed) sharps stay inside.

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N/A

14.   The user can determine easily, from various viewing angles, when the container is full.

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N/A

15.   When the container is to be used free-standing (no mounting bracket), it is stable and unlikely to top over.

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N/A

16.   The container is large enough to accept all sizes and shapes of sharps, including 50 ml preloaded syringes.

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N/A

17.   It is safe to close the container.  (Sharps should not protrude into the path of hands attempting to close the container.)

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5

N/A

18.   The container closes securely under all circumstances.

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N/A

19.   The product has handles which allow you to safely transport a full container.

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5

N/A

20.   The product does not require extensive training to operate correctly.

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5

N/A