Idea Campaign Feedback - Pediatric Medical Devices Survey

Basic information about the individual who is responding to the survey.

1. How do you describe yourself?

How do you describe yourself? Medical professional (e.g. doctor, nurse, etc)

Medical researcher

Parent

Caregiver

Patient

Academic

Other (please specify)

2. General Experience:

	Poor	Needs improvement	OK	Really great	Exceeded expectation
Experience using the Idea Campaign	*General Experience: Experience using the Idea Campaign Poor	Experience using the Idea Campaign Needs improvement	Experience using the Idea Campaign OK	Experience using the Idea Campaign Really great	Experience using the Idea Campaign Exceeded expectation

3. Ease of use

	Very difficult	Somewhat difficult	OK	Fairly easy	Very easy
Did you find the site easy to use (e.g. to view the ideas, or post your own idea)?	*Ease of use Did you find the site easy to use (e.g. to view the ideas, or post your own idea)? Very difficult	Did you find the site easy to use (e.g. to view the ideas, or post your own idea)? Somewhat difficult	Did you find the site easy to use (e.g. to view the ideas, or post your own idea)? OK	Did you find the site easy to use (e.g. to view the ideas, or post your own idea)? Fairly easy	Did you find the site easy to use (e.g. to view the ideas, or post your own idea)? Very easy

4. General feedback and ideas

General feedback and ideas

5. What parts do you like the best?

What parts do you like the best?

6. What parts do you dislike?

What parts do you dislike?

7. Would you like to find out more about Interactive Idea Campaigns or other innovation services?

Would you like to find out more about Interactive Idea Campaigns or other innovation services? Name:
Company:
Email Address:
Phone Number:

Idea Campaign Feedback - Pediatric Medical Devices