Apply for Dealership

Fields marked with * are mandatory


Device Model: *
CARDIOVIT AT-1 G2CARDIOVIT AT-102 G2CARDIOVIT AT-102CARDIOVIT FT-1CARDIOVIT CS-200 Excellence / ErgoSpiroCARDIOVIT CS-200 Office / ErgoSpiroCARDIOVIT AT-180CARDIOVIT CS 10/20SPIROVIT SP-1 G2BR-102 plusmedilog ARmedilog DARWIN2FRED easyport plusFRED PA-1EASY PULSEDEFIGARD 400DEFIGARD 400xOXYWAVETRUSCOPE IIITRUSCOPE ultra Q5TRUSCOPE ultra Q7TRUSCOPE touch miniGRAPHNET advanceGRAPHNET tsGRAPHNETneoAQUILON tsAQUILON NV8SOPHIEA-mac E1A-mac E6A-mac S22A-mac S23tremoflo C-100SpiroScoutPowercube Diffusion +Powercube Body +NIOX VEROEucapSysAltiTrainer

Are you a Medical Practitioner, Representative of a Company, Organisation, Society or Community? *
Medical PractitionerRepresentative of a CompanyOrganisationSociety or Community

Were the product’s features, functions and add-on options with their uses explained to you?
YesNo

How was your experience while buying the product?
Extremely SatisfiedSatisfiedAverageDisappointedExtremely Disappointed

How was your experience while installing the product?
Extremely SatisfiedSatisfiedAverageDisappointedExtremely Disappointed

Would you like to receive our newsletter to know more about SCHILLER’s products?
YesNo

If yes, please provide the following details:

Would you like to highlight anything in particular that you liked or did not like? Please provide your valuable comments in the box below:

The surveys are treated confidentially. By participating in the survey, participants give their consent for SCHILLER to use the data for Customer Satisfaction Analysis.