Kids - What is On Your Wish List? Your Voice Matters Everyone has a wish list and we want to know what kids want! To inspire future innovation, tell us what new medical devices, medicines or treatments that you wish you had to help make kid life better. All ideas are welcome! OK Question Title * 1. How old are you 5 or under 6-8 9-11 12-14 14-16 16-18 19-24 25-34 35-44 45-54 55-64 65+ OK Question Title * 2. Are you diagnosed with a medical condition? Yes No Other (please specify) OK Question Title * 3. If you could make one new medicine, what would it help with? OK Question Title * 4. What would be the best way for your new medicine to be given? In a pill In a liquid In an injection Other (please specify) OK Question Title * 5. How often would your medicine be given? One time only Once a day Once a week Once a month Once a year Other (please specify) OK Question Title * 6. If you could make one new medical device, what would it help with? OK Question Title * 7. What would your medical device look like? Share details like color, shape, size. OK Question Title * 8. If you could make an app for a medical condition, what would it do? OK Question Title * 9. If you could improve an emergency room hospital visit, what would you do? OK Question Title * 10. If you could improve an in-patient stay, what would you do? OK Question Title * 11. If you could improve a clinic visit, a blood draw or an infusion visit, what would you do? OK Question Title * 12. Please share any other idea that you have for helping kids. OK Question Title * 13. If you would like to be contacted after the summit to share more about your ideas, please leave your name and email. Name Email Address OK Question Title * 14. Are you a parent/guardian responding on behalf of your child? Yes No Other (please specify) OK THANK YOU FOR SHARING YOUR IDEAS!