Thank you for your interest in working with the MGB Center for COVID Innovation. Please provide information on your technology via the questionnaire below.

Question Title

* 1. Name of Company

Question Title

* 2. Name

Question Title

* 3. Name

Question Title

* 4. Email Address

Question Title

* 5. Name of Test

Question Title

* 6. Type of Test (Lateral flow assay, ELISA, etc.)

Question Title

* 7. Time to run each test

Question Title

* 8. Batch size/Throughput (Number of tests run at a time)

Question Title

* 9. Form Factor (benchtop, large instrument, etc.)

Question Title

* 10. Readout

Question Title

* 11. Level of Complexity (Describe test process and include sample handling steps required and CLIA complexity level)

Question Title

* 12. Sample type(s) being used

Question Title

* 13. Technical Specifications

Question Title

* 14. EUA Status/Progress (if applicable, include whether PCR validation has been done)

Question Title

* 15. Other consumables needed (e.g. RNA extraction kit, reagents, special swabs, etc.)

Question Title

* 16. Is your manufacturing in-house or contracted?

Question Title

* 17. Is your manufacturing facility registered with the FDA?

Question Title

* 18. Quality Control measures in place (For example, FDA, ISO 13485:2016 )

Question Title

* 19. Supply Chain Details (e.g. any anticipated problems, max order size, manufacturing capacity, any anticipated issues re: critical reagents or other components)

Question Title

* 20. Do you have other products in the market that have received FDA clearance or approval?

Question Title

* 21. Cost of device? (Also include if a device can be provided in exchange for validation or optimization)

Question Title

* 22. Other details

T