Hydrafacial - Customer feedback intake form Hydrafacial - Customer feedback intake form Hydrafacial - Customer Feedback Intake Form CUSTOMER INFORMATION Account Name * Name of the Person Reporting * Reporter Email * Phone * Date * INCIDENT INFORMATION Help us fix it! Please fill out information below where applicable Sales Order Number * PO Name * Part Numbers * Product Description * Lot Number(s) * Expiry Date * Serial Number(s) * Quantity * Order * Short ship product Over ship product Wrong product Pricing Shipping docs In transit OtherOther Select the issue Product Quality * Damage Leaking Color Shape OtherOther Select the issue Technical Issue * Software (E.g. No response/ Error message/ Blue screen)Software (E.g. No response/ Error message/ Blue screen) Handpiece/ Suction (E.g. No flow/ Excessive Flow)Handpiece/ Suction (E.g. No flow/ Excessive Flow) Tubing LED Light Power Abnormal Noise (At Start-up/ During Treatment)Abnormal Noise (At Start-up/ During Treatment) OtherOther Select the issue Side Effect * Allergic Reaction Burning Swollen Red/ Pink Flaking OtherOther Select the issue What Went Wrong? * Please be as detailed as possible Please Select One Resolution Below * Refund/ Credit (Order releated only) Replacement (Cosmetic-product related only) Troubleshooting OtherOther If you are human, leave this field blank. Submit
