About this template
The Medical Product Evaluation Form template is designed for healthcare professionals, clinical researchers, and medical practice managers who need to assess the efficacy, safety, and practicality of new medical devices and supplies. Whether you are reviewing a newly introduced diagnostic tool, a therapeutic device, or general clinical consumables, this form provides a standardized method to document performance metrics.
The template systematically collects vital product data including brand name, model number, manufacturer specifications, pricing, and supplier contact details. Furthermore, it captures clinical insights such as intended application, observed benefits, practice change impact, and an overall evaluation score. By consolidating this information into a structured Google Form, medical teams can make informed purchasing decisions and maintain clear documentation for quality assurance.
Doc2Form allows you to instantly convert this template into a fully functioning Google Form, streamlining your medical product review workflow without manual recreation. Use the collected data to compare alternative equipment, streamline procurement, and ensure that only high-quality products are utilized in patient care.
Key features
- Standardize product reviews across clinical departments
- Capture complete manufacturer and supplier details
- Document clinical benefits and practice changes
- Collect pricing and model specifications accurately
- Review submissions instantly in a connected Google Sheet
Use cases
Assessing newly introduced medical devices before facility-wide procu…
Assessing newly introduced medical devices before facility-wide procurement
Conducting clinical trials or evaluations on specialized equipment
Reviewing sample products provided by medical device suppliers
Gathering clinician feedback on updated hospital supplies
What this form collects
- Evaluator Full Name (Short answer)Enter your first and last name.
- Position / Title (Short answer)Enter your current professional role or title.
- Organization / Practice Name (Short answer)Enter the name of your hospital, clinic, or medical practice.
- Email Address (Short answer)Provide a reliable email address for follow-up questions.
- Phone Number (Short answer)Enter your direct contact number.
- Brand Name (Short answer)Enter the brand or trade name of the product.
- Model Name and Number (Short answer)Specify the exact model name and serial or catalog number.
- Manufacturer (Short answer)Enter the name of the company that manufactured the product.
- Supplier Name (Short answer)Enter the name of the distributor or vendor who supplied the product.
- Supplier Address (Paragraph)Provide the physical or mailing address of the supplier.
- Estimated Price (Short answer)Enter the unit price or estimated cost per item.
- Reason for Evaluation (Paragraph)Explain why this product is being evaluated (e.g., trial, replacement, new technology).
- Description of Clinical Application (Paragraph)Describe the medical procedures or use cases where this product was applied.
- Product Benefits and Evidence (Paragraph)Describe any clinical advantages, efficiency gains, or safety improvements observed.
- Practice Change Status (Multiple choice)Will adopting this product require significant changes to current clinical workflows?
- Practice Change Explanation (Paragraph)Provide details on what adjustments or training would be necessary if adopted.
- Relevant Brochures or Documentation Links (Paragraph)Please paste a link to your file (Google Drive, Dropbox, etc.) or describe the document you wish to attach.
- Evaluator Signature (Short answer)Type your full legal name to serve as your digital signature.
- Evaluation Date (Date)Select the date of this evaluation.
FAQ
What is a medical product evaluation form used for?
It is used to systematically assess the performance, quality, and clinical utility of medical devices, equipment, and supplies before making purchasing or adoption decisions.
Can I customize the questions in this Google Form template?
Yes. Once the template is generated in your Google account, you can freely add, remove, or edit any questions to fit your specific medical facility guidelines.
Who should fill out this evaluation form?
Typically, physicians, nurses, clinical researchers, or medical procurement officers who have tested the product in a practical clinical setting.
How can I share this evaluation form with my team?
You can easily share the Google Form via direct link, email invitation, or embed it on an internal hospital portal for quick staff access.
Where are the evaluation responses stored?
All responses are automatically saved in your personal Google Drive and can be linked to a Google Sheet for easy data analysis and reporting.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.