| Question | Answer |
| General: Did the device perform according to manufacturer specifications just before dismantling? | Yes |
| General: Is the device under confiscation? | No |
| General: Is the device mortgaged? | No |
| General: Is the refurbishing process accomplished by the original manufacturer or its authorized agent? | Not relevant |
| General: Frequency | Unknown |
| General: Are you the owner of the device? | Yes |
| General: Are there any visual or non visual damages? | Unknown |
| General: Power supply - phase | Unknown |
| General: Power supply - Volts range | Unknown |
| General: Hardware / Software? | Hardware/Software |
| General: What is the estimated size of the needed package? | |
| General: Is this system / equipment CE marked? | Unknown |
| General: Software installed? (Name + Version) | |
| General: Does the system include an mAS indicator? | Unknown |
| General: Does it include a multiformat printer? | Unknown |
| General: Did this equipment pass the American College of Radiology (ACR) accreditation? | Unknown |
| Manuals & Documentation: Is there an operation manual? | Unknown |
| Manuals & Documentation: Are there purchasing documents of the device? | Unknown |
| Manuals & Documentation: Does it have all labels according to manufacturer's specification? | Unknown |
| Manuals & Documentation: Is there a calibration and adjustment file? | Unknown |
| Manuals & Documentation: Is there a CCF - Customer Complaints File? | Unknown |
| Manuals & Documentation: Is there a maintenance service logbook? | Unknown |
| Manuals & Documentation: Is there a log of repair parts? | Unknown |
| Service & Warranty: Can you provide service and application support for this Device? | Yes |
| Service & Warranty: Was the system under T & M service? | Unknown |
| Service & Warranty: Was the service given by the manufacturer? | Yes |
| Service & Warranty: Was the service given by third party? | Yes |
| Terms of payment: Do you agree to trade in? | No |
| Work Station: Does the system include the option of Computer Aided Detection? | Unknown |
| Work Station: Does the system include an Acquisition Work Station? | Unknown |
| Work Station: Does the system include a Radiologist Work Station? | Unknown |
| X-ray Tube: What was the work load of the X-ray tube? | Unknown |
| X-ray Tube: What is the number of exposoures? | |
