RBW Member Name: Email Address (Needed to contact if there is questions, will not be posted) Rebreather Model Number of dives on unit to date Total underwater hours on unit List modification you have conducted on your unit Rate the following 1 - 5 (1=poor 5=excellent) Work of Breathing (WOB) 1 Hard to breathe 2 Poor in certain positions 3 Acceptable in most positions 4 Easy to breath 5 Excellent Comments about WOB Electronics / PPO2 Monitoring System 1 Unreliable 2 Have had a few problems 3 Temperamental but works most of the time 4 Works 90% without a problem 5 Works great all of the time Comments on Electronics Quality of construction 1 Poor construction 2 Some parts could be designed better 3 Acceptable construction 4 Good construction 5 Excellent design and durability Comments on Construction Scrubber duration, performance, ease of packing 1 Poor 2 Below Expected 3 Acceptable 4 Above Expected 5 Excellent Comments about Scrubber Maintenance and preparation of the unit 1 Poor, requires to much time to maintain and prep 2 Below Expected, have to work on the unit all the time 3 Acceptable time needed to maintain and prep 4 Easy to maintain and prep 5 Excellent , very little time is required Comments about maintenance and preparation Over all level of satisfaction 1 Not satisfied 2 Below Expected 3 Acceptable 4 Satisfied 5 Love the unit Comments on satisfaction Pros you like about this unit Cons you dislike about the unit Improvements you would like to see with this unit Additional comments if needed