Thank you for contacting our support team. To help us resolve your issue as quickly as possible, please provide the following information. The more detail you can provide, the better we can assist you.
Full Name:
Email Address:
User ID / Account Name:
App Name:
App Version:
Device Model:
Operating System Version:
Country/Region:
Please select the category that best describes your issue:
App Crash or Freeze
Display or Rendering Issue (e.g., images not loading, distorted)
Functionality Issue (e.g., a tool is not working)
Data or Content Issue (e.g., missing studies)
Account or Login Issue
Other:
Please provide a detailed description of the problem you are experiencing:
Type of Medical Study:
X-Ray
CT Scan
MRI
Ultrasound
PET Scan
Other:
File Format:
DICOM (.dcm)
JPEG (.jpg)
PNG (.png)
Other:
How was the image data loaded into the app?
Imported from local storage/device files
Imported from a cloud service (e.g., Dropbox, Google Drive)
Imported from a PACS/server (Please specify the system, if known)
Captured or generated within the app
Other:
Please list the steps you took that led to the issue. This is crucial for our team to replicate and fix the problem.
Steps | ||
|---|---|---|
A | ||
1 | ||
2 | ||
3 | ||
4 | ||
5 |
If possible, please attach screenshots or a screen recording of the problem. This can be extremely helpful.
Description / File Name | Upload File | ||
|---|---|---|---|
A | B | ||
1 | |||
2 | |||
3 | |||
4 | |||
5 |
Did you see any specific error messages?
If so, please write the exact text of the message below.
Thank you for your time. Your input is valuable in helping us improve the application.
App Support Form Insights
Important Note:
This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes.
AI-Generated Content: This template and its accompanying guidance are AI-generated to provide a practical starting point for your form-building needs. Please review and customise the content to ensure it is accurate, appropriate and suitable for your intended use.
This guide is provided for general informational and planning purposes only. It does not constitute professional, legal, financial, medical, employment, privacy, regulatory, or advice of any other kind, nor does it certify that this template is suitable or compliant for any particular jurisdiction or purpose.
Laws, regulations, industry practices and business requirements vary. You are responsible for reviewing and customising the template to suit your intended use and obtaining advice from appropriately qualified professionals where necessary.
Please delete this section before publishing your form. See our Terms of Service for further information.
Here's a detailed breakdown of the insights behind its structure and questions:
The form follows a logical, top-down structure. It starts with general, easy-to-answer questions about the user and their device, which are common to almost any app issue. It then funnels down to highly specific, medical imaging-related details. This approach:
The form uses a combination of multiple-choice and open-ended questions to guide the user. The multiple-choice sections, such as "Problem Category," "Type of Medical Study," and "File Format," serve as powerful triage tools.
The "Steps to Reproduce" section is arguably the most important part of the form. Asking the user to provide a numbered list of actions helps the support team to:
Requesting screenshots, screen recordings, and exact error message text is a best practice for any tech support form. For medical imaging, this is even more critical.
In summary, this form goes beyond a generic "contact us" page by asking targeted, specific questions that are directly relevant to the unique challenges of a medical imaging application. It's designed for efficiency, accuracy, and quick resolution by turning a vague user complaint into actionable, technical data.
Mandatory Questions Recommendation
Important Note:
This section explains why certain fields in this form are marked as required and provides general guidance on how these requirements may support the collection of complete, accurate and relevant information.
Required fields and information-collection obligations may vary depending on your industry, jurisdiction, business operations and intended use of the form. A field marked as required in this template does not necessarily mean that collecting the information is legally mandatory.
Please review each required field to determine whether it is necessary, appropriate and lawful for your particular purpose. Consider applicable privacy, data protection, consent and industry-specific requirements, and consult an appropriately qualified legal, privacy or compliance professional where necessary.
Please delete this section before publishing your form. See our Terms of Service for further information.
The mandatory questions are:
To configure an element, select it on the form.