. Question Title * 1. What is your preferred title? Dr Ms Mr Professor Other (please specify) Question Title * 2. What is your name? Question Title * 3. Which of the following describes your position? More than one may apply Academic Clinical Fellow Academic Clinical Lecturer Academic Foundation Programme (AFP) Doctor Audiologist Audiovestibular Physician Clinical Fellow Clinical Lecturer Consultant Core Trainee ENT Surgeon Foundation Doctor Lecturer Nurse PhD Student Physiotherapist Post-Doctoral Researcher Professor- Honorary Professor- University Employed Senior Clinical Lecturer Senior Lecturer Specialty Trainee Speech and Language Therapist Other (please specify) Question Title * 4. Please specify your Affiliation/sFor example: University: Nottingham Hospital: Nottingham University Hospitals Other: NHBRU University: Hospital Trust: Other: Question Title * 5. Please indicate your main area/s of research Allergy Balance Head and Neck Hearing and Tinnitus Laryngology Otology Paediatric ENT Plastic + Facial Reconstruction Surgery Rhinology Other (please specify) Question Title * 6. Please list up to three current research projects which you feel exemplify your work For example: An RCT Evaluating Interactive Videos for Hearing Aid Users. 1. 2. 3. Question Title * 7. What type/s of research are these projects? Cellular, Molecular and Genetics Neuroscience and Computational Biology Human Perception and Systems Epidemiology Prototype Discovery & Design Pre-clinical Development Early Clinical Trials Late Clinical Trials Health Technology Assessment Health Services Research Knowledge Management Healthcare Delivery Other (please specify) Project 1 Project 1 Cellular, Molecular and Genetics Project 1 Neuroscience and Computational Biology Project 1 Human Perception and Systems Project 1 Epidemiology Project 1 Prototype Discovery & Design Project 1 Pre-clinical Development Project 1 Early Clinical Trials Project 1 Late Clinical Trials Project 1 Health Technology Assessment Project 1 Health Services Research Project 1 Knowledge Management Project 1 Healthcare Delivery Project 1 Other (please specify) Project 2 Project 2 Cellular, Molecular and Genetics Project 2 Neuroscience and Computational Biology Project 2 Human Perception and Systems Project 2 Epidemiology Project 2 Prototype Discovery & Design Project 2 Pre-clinical Development Project 2 Early Clinical Trials Project 2 Late Clinical Trials Project 2 Health Technology Assessment Project 2 Health Services Research Project 2 Knowledge Management Project 2 Healthcare Delivery Project 2 Other (please specify) Project 3 Project 3 Cellular, Molecular and Genetics Project 3 Neuroscience and Computational Biology Project 3 Human Perception and Systems Project 3 Epidemiology Project 3 Prototype Discovery & Design Project 3 Pre-clinical Development Project 3 Early Clinical Trials Project 3 Late Clinical Trials Project 3 Health Technology Assessment Project 3 Health Services Research Project 3 Knowledge Management Project 3 Healthcare Delivery Project 3 Other (please specify) Other (please specify) Please indicate your role in each of these projects Question Title * 8. Project 1 Chief Investigator/ Principal Investigator Principal Investigator At Trust Collaborator – please specify: Question Title * 9. Project 2 Chief Investigator/ Principal Investigator Principal Investigator At Trust Collaborator – please specify: Question Title * 10. Project 3 Chief Investigator/ Principal Investigator Principal Investigator At Trust Collaborator – please specify: Question Title * 11. From which of these organisations have you received substantial funding for your research? Action on Hearing Loss BMA Cancer Research UK The European Research Council Industry please specify in the box below: Innovate UK/The Technology Strategy Board Medical Research Council NHS Trust please specify in the box below: NIHR Other Charity please specify in the box below: Other Research Council please specify in the box below: Royal College please specify in the box below: University please specify in the box below: Wellcome Trust Other (please specify) Page1 / 2 50% of survey complete. Next
