NPA - Pediatric Hydrocephalus Survey Question Title * 1. Do you currently report data on pediatric hydrocephalus to a local or national clinical registry? YES - NSQIP YES - SPS YES - Other - please enter below NO - Please note the reason below Other/Reason OK Question Title * 2. What is your level of interest in participating in a national clinical registry on pediatric hydrocephalus? Strong Interest Some Interest Average Interest Below Average Interest No Interest OK Question Title * 3. What features would you like the registry to include? Imaging CPT Codes Patient/family portal Other (please specify) OK Question Title * 4. This pediatric registry may be offered for an annual subscription fee of $10,000 per participating center. The subscription fee will offset some of the registry’s operating costs, which include personnel salaries, technology vendor fees, and more. Too high Priced well Seems low Comments: OK Question Title * 5. Is there another model that you would prefer for the registry? OK Question Title * 6. Please offer additional feedback. OK Question Title * 7. Thank you for your time. If you are interested in learning more about this registry as it moves forward, please fill out the contact information below. Name Title Institution Email Phone OK DONE