QUIBIM Survey

Client Profile


Thank you for gathering all this valuable information and shared with QUIBIM team.

We will work on define the best solution to perfectly cover the client needs and expectations.

DISTRIBUTOR OR SALES PERSON:

Name *

Contact person *

Website

HOSPITAL/CENTER DATA:

Name *

Adress *

Website

Type of center *

CONTACT PERSONS:

Name (Chief of the Radiology Department) *

Email *

Name (Hospital/Center Manager) *

Email *

Name

Position *

Email

Name

Position *

Email

MEDICAL IMAGE FACILITIES:

Nº of CT scans

Nº of MRI scans

Others

Nº of CT studies/year

Nº of MRI studies/year

Nº of Chest Radiographs/year

INTEREST ON QUIBIM SERVICES:

Analysis Modules

QUIBIM Precision platforms

QUIBIM Technology

OBSERVATIONS

Please explain in the following lines how QUIBIM match the needs detected in the client *

Notes