HEGDE & HEGDE PHARMACEUTICA LLP

Form No: PFR/NOV23/328011

PFR/NOV23/328011
Product Name: Dermadew Soap - PSQ_2022-23_0105
Name: Dr. SABYASACHI BANERJEE
Address: SILIGURI;REMEDICO;, HOSPITAL ROAD;SILIGURI

1) Dr. Which population group comprises major part of your OPD?

Paediatric Adolescents-Adults Adults-Elderly All Age Group

2) Dr. What are the most common Skin related cases that you come across in your routine
Practice?
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3) Dr. Do you agree that Soaps/Cleanser play a vital role in the Skin care routine?
Yes No

4) Dr. Please mention, in which cases do you prefer to prescribe Medicated Moisturizing
Soaps?
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5) Dr. Apart from cleansing what other factors do you consider while prescribing a Soap to your
Patients?
Hydrates the Skin Retains the Moisture Provides Skin Nutrients No Irritation Others
Please specify

6) Dr. Do you Prescribe Dermadew Soap?

Yes No

7) Dr. Are you aware, that Dermadew Soap is a Neutral PH, Grade-I, Vegetable Oil Soap?
Yes No
8) If yes, Dr. Please list some indications where you recommend Dermadew Soap?
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9) Dr. How do you rate the Moisturising effect of Dermadew Soap?

Excellent Very Good Good Fair Poor

10) Dr. Have you found any Irritation/Allergy case to Dermadew Soap in your Patients?
Yes No

11) If yes, Kindly elaborate

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12) Dr. How would you rate Dermadew Soap based on your Patient's Satisfaction?
1-Star 2 Stars 3-Stars 4-Stars 5-Stars

13) Dr. Please provide your overall feedback (positive/negative) about Dermadew Soap?
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Date: ____________________

Signature & Stamp: ____________________________

Name:SABYASACHI BANERJEE
Form No: PFR/NOV23/328011