Table 2.

The score card

Before use	Did the subject check through the viewing window if he/she sees a fluid?
	Did the subject check if the tamper-evident seal is intact?
During the simulated injection	Did the subject hold the autoinjector in one hand?
	Did the subject pull off the green cap?
	Did the subject make a “skin” fold on the pad?
	Did he/she make the “skin” fold with the forefinger and thumb?
	Did the yellow needle shield point towards the injection site?
	Did the subject place the autoinjector on the pad in a (approximately) 90° angle?
	Did the subject place the autoinjector on the pad so the entire rim of the yellow needle shield touched the pad?
	Did the subject apply downward pressure on the autoinjector (needle shield fully pushed in) so that a click was heard?
	Did the subject hold the autoinjector with the needle shield fully pushed in until a second click was heard before removing the autoinjector?
	Did the subject wait 2–3 s after the second click before removing the autoinjector?
	Did the subject hold the “skin” fold from before the injection until after he/she removed the autoinjector from the pad?
After use	Did the subject look through the viewing window of the autoinjector after the injection?
	Did the subject put the green cap back on the autoinjector after the injection?

All the questions were answered by: “Yes, immediately”, “Yes, but after some hesitations or problems”, or “No, not at all”. The first two answers were considered as “correct handling”