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52.85.61.28  Public Scan

Form analysis
1 forms found in the DOM

Name: surveyForm — POST

<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
  <div class="questions clearfix">
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-161715587" data-qnumber="1" data-qdispnumber="1" data-question-id="161715587" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-161715587" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 1<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate
                "> Full Name</span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_161715587" data-question-id="161715587" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-161715587">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-161715587" id="161715587" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="161715587" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-161715588" data-qnumber="2" data-qdispnumber="2" data-question-id="161715588" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-161715588" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 2<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate
                "> Email</span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_161715588" data-question-id="161715588" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-161715588">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-161715588" id="161715588" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="161715588" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-161715589" data-qnumber="3" data-qdispnumber="3" data-question-id="161715589" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-161715589" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 3<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate
                "> Phone</span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_161715589" data-question-id="161715589" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-161715589">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-161715589" id="161715589" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="161715589" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-161715590" data-qnumber="4" data-qdispnumber="4" data-question-id="161715590" class=" question-open-ended-single qn question single">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-161715590" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 4<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate
                "> LinkedIn or social media link (For certification only)</span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_161715590" data-question-id="161715590" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-size="50" data-labeledby="question-title-161715590">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-161715590" id="161715590" aria-required="false" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="161715590" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
    
        
        
    
    ">
        <div id="question-field-161715591" data-qnumber="5" data-qdispnumber="5" data-question-id="161715591" class=" question-open-ended-single qn question single question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <div class=" question-fieldset question-legend">
            <h4 id="question-title-161715591" class=" question-title-container ">
              <span class="required-asterisk notranslate"> * </span>
              <span class="question-number notranslate"> 5<span class="question-dot">.</span>
              </span>
              <span class="user-generated notranslate
                "> What is the name of the Company / Hospital buying group / Distributor / Reseller you work for?</span>
            </h4>
            <div class="question-body clearfix notranslate ">
              <div id="open-ended-single_161715591" data-question-id="161715591" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-161715591">
                <div class="question-body open-ended-single"><input aria-labelledby="question-title-161715591" id="161715591" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
                    name="161715591" size="50" value=""></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
    
        
        
    
    ">
        <div id="question-field-161715596" data-qnumber="6" data-qdispnumber="6" data-question-id="161715596" class=" question-single-choice-radio qn question vertical question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <fieldset class=" question-fieldset" data-radio-button-group="">
            <legend class="question-legend">
              <h4 id="question-title-161715596" class="
                     question-title-container ">
                <span class="required-asterisk notranslate"> * </span>
                <span class="question-number notranslate"> 6<span class="question-dot">.</span>
                </span>
                <span class="user-generated notranslate
                "> Which country is the company you work for located in?</span>
              </h4>
            </legend>
            <div class="question-body clearfix notranslate ">
              <div class="">
                <div class="answer-option-cell" data-answer-id="1184698090">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161715596">
                    <input id="161715596_1184698090" aria-labelledby="161715596_1184698090_label" name="161715596" type="radio" role="radio" class="radio-button-input " value="1184698090" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161715596_1184698090_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161715596_1184698090">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> United States </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184698091">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161715596">
                    <input id="161715596_1184698091" aria-labelledby="161715596_1184698091_label" name="161715596" type="radio" role="radio" class="radio-button-input " value="1184698091" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161715596_1184698091_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161715596_1184698091">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Italy </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184698092">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161715596">
                    <input id="161715596_1184698092" aria-labelledby="161715596_1184698092_label" name="161715596" type="radio" role="radio" class="radio-button-input " value="1184698092" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161715596_1184698092_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161715596_1184698092">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> UK </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184698093">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161715596">
                    <input id="161715596_1184698093" aria-labelledby="161715596_1184698093_label" name="161715596" type="radio" role="radio" class="radio-button-input " value="1184698093" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161715596_1184698093_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161715596_1184698093">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Germany </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184698094">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161715596">
                    <input id="161715596_1184698094" aria-labelledby="161715596_1184698094_label" name="161715596" type="radio" role="radio" class="radio-button-input " value="1184698094" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161715596_1184698094_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161715596_1184698094">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> France </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184698095">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161715596">
                    <input id="161715596_1184698095" aria-labelledby="161715596_1184698095_label" name="161715596" type="radio" role="radio" class="radio-button-input " value="1184698095" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161715596_1184698095_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161715596_1184698095">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Spain </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184698096">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161715596">
                    <input id="161715596_1184698096" aria-labelledby="161715596_1184698096_label" name="161715596" type="radio" role="radio" class="radio-button-input " value="1184698096" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161715596_1184698096_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161715596_1184698096">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Poland </span>
                    </label>
                  </div>
                </div>
              </div>
              <div class="other-answer-container other-answer-option-container" data-answer-id="1184698097">
                <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161715596">
                  <input id="161715596_1184698097" aria-labelledby="161715596_1184698097_label" name="161715596" type="radio" role="radio" class="radio-button-input " value="1184698097" aria-checked="false" data-other-answer="">
                  <label data-sm-radio-button-label="" id="161715596_1184698097_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161715596_1184698097">
                    <span class="radio-button-display ">
                    </span>
                    <span class="radio-button-label-text question-body-font-theme user-generated "> Other (please specify) </span>
                  </label>
                </div>
                <input id="161715596_other" name="161715596_other" type="text" class="text other-answer-text" maxlength="20000" size="50" aria-label="Other (please specify)" data-other-text="">
              </div>
            </div>
          </fieldset>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
    
        
        
    
    ">
        <div id="question-field-161717694" data-qnumber="7" data-qdispnumber="7" data-question-id="161717694" class=" question-single-choice-radio qn question vertical question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <fieldset class=" question-fieldset" data-radio-button-group="">
            <legend class="question-legend">
              <h4 id="question-title-161717694" class="
                     question-title-container ">
                <span class="required-asterisk notranslate"> * </span>
                <span class="question-number notranslate"> 7<span class="question-dot">.</span>
                </span>
                <span class="user-generated notranslate
                "> What is your seniority?</span>
              </h4>
            </legend>
            <div class="question-body clearfix notranslate ">
              <div class="">
                <div class="answer-option-cell" data-answer-id="1184701560">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161717694">
                    <input id="161717694_1184701560" aria-labelledby="161717694_1184701560_label" name="161717694" type="radio" role="radio" class="radio-button-input " value="1184701560" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161717694_1184701560_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161717694_1184701560">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Entry level </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184701561">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161717694">
                    <input id="161717694_1184701561" aria-labelledby="161717694_1184701561_label" name="161717694" type="radio" role="radio" class="radio-button-input " value="1184701561" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161717694_1184701561_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161717694_1184701561">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Mid-level </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184701562">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161717694">
                    <input id="161717694_1184701562" aria-labelledby="161717694_1184701562_label" name="161717694" type="radio" role="radio" class="radio-button-input " value="1184701562" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161717694_1184701562_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161717694_1184701562">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Middle Manager </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184701563">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161717694">
                    <input id="161717694_1184701563" aria-labelledby="161717694_1184701563_label" name="161717694" type="radio" role="radio" class="radio-button-input " value="1184701563" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161717694_1184701563_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161717694_1184701563">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Senior Manager </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184701564">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161717694">
                    <input id="161717694_1184701564" aria-labelledby="161717694_1184701564_label" name="161717694" type="radio" role="radio" class="radio-button-input " value="1184701564" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161717694_1184701564_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161717694_1184701564">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Director </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1184701565">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-161717694">
                    <input id="161717694_1184701565" aria-labelledby="161717694_1184701565_label" name="161717694" type="radio" role="radio" class="radio-button-input " value="1184701565" aria-checked="false">
                    <label data-sm-radio-button-label="" id="161717694_1184701565_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="161717694_1184701565">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> C-Suite and above </span>
                    </label>
                  </div>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
    </div>
    <div class="question-row clearfix 
                   ">
      <div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container
    
        
        
    
    ">
        <div id="question-field-174345488" data-qnumber="8" data-qdispnumber="8" data-question-id="174345488" class=" question-single-choice-radio qn question vertical question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <fieldset class=" question-fieldset" data-radio-button-group="">
            <legend class="question-legend">
              <h4 id="question-title-174345488" class="
                     question-title-container ">
                <span class="required-asterisk notranslate"> * </span>
                <span class="question-number notranslate"> 8<span class="question-dot">.</span>
                </span>
                <span class="user-generated notranslate
                "> Do you use any of the following <span style="text-decoration: underline;">Navigation Systems</span> at your Hospital?</span>
              </h4>
            </legend>
            <div class="question-body clearfix notranslate ">
              <div class="">
                <div class="answer-option-cell" data-answer-id="1268564836">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-174345488">
                    <input id="174345488_1268564836" aria-labelledby="174345488_1268564836_label" name="174345488" type="radio" role="radio" class="radio-button-input " value="1268564836" aria-checked="false">
                    <label data-sm-radio-button-label="" id="174345488_1268564836_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="174345488_1268564836">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Brainlab </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1268564837">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-174345488">
                    <input id="174345488_1268564837" aria-labelledby="174345488_1268564837_label" name="174345488" type="radio" role="radio" class="radio-button-input " value="1268564837" aria-checked="false">
                    <label data-sm-radio-button-label="" id="174345488_1268564837_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="174345488_1268564837">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Medtronic </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1268564838">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-174345488">
                    <input id="174345488_1268564838" aria-labelledby="174345488_1268564838_label" name="174345488" type="radio" role="radio" class="radio-button-input " value="1268564838" aria-checked="false">
                    <label data-sm-radio-button-label="" id="174345488_1268564838_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="174345488_1268564838">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Globus Medical </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell" data-answer-id="1268564839">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-174345488">
                    <input id="174345488_1268564839" aria-labelledby="174345488_1268564839_label" name="174345488" type="radio" role="radio" class="radio-button-input " value="1268564839" aria-checked="false">
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                      <span class="radio-button-label-text question-body-font-theme user-generated "> NuVasive Medical </span>
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                <div class="answer-option-cell" data-answer-id="1268564840">
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                      <span class="radio-button-label-text question-body-font-theme user-generated "> 7D Surgical </span>
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                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Cascination </span>
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                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> B. Braun / Aesculap </span>
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                <div class="answer-option-cell" data-answer-id="1268565216">
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                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> We do not use </span>
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                    </span>
                    <span class="radio-button-label-text question-body-font-theme user-generated "> Other (please specify) </span>
                  </label>
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                <span class="required-asterisk notranslate"> * </span>
                <span class="question-number notranslate"> 9<span class="question-dot">.</span>
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                <span class="user-generated notranslate
                "> Are you aware of Passive Sphere Marker prices?</span>
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                      <span class="radio-button-label-text question-body-font-theme user-generated "> No </span>
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        <div id="question-field-161717945" data-qnumber="10" data-qdispnumber="10" data-question-id="161717945" class=" question-single-choice-radio qn question vertical question-required">
          <h3 class="screenreader-only">Question Title</h3>
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                <span class="required-asterisk notranslate"> * </span>
                <span class="question-number notranslate"> 10<span class="question-dot">.</span>
                </span>
                <span class="user-generated notranslate
                "> Is the company you work at, an Optical Sphere Markers:</span>
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            <div class="question-body clearfix notranslate ">
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                      <span class="radio-button-label-text question-body-font-theme user-generated "> User (Hospital, Hospital buying group, University) </span>
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                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Manufacturer </span>
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                <div class="answer-option-cell" data-answer-id="1268570139">
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                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Distributor </span>
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                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Reseller </span>
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                    </span>
                    <span class="radio-button-label-text question-body-font-theme user-generated "> Other (please specify) </span>
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Text Content

OPTICAL SPHERE - SCREENER 




 
100% of survey complete.


Hello,


SIS Research is conducting online Zoom interviews about Optical Sphere
manufacturing and distribution.

We provide a $150 compensation if you qualify, are selected, and complete an
approximately 30-minute Zoom video interview.


Please answer a few pre-screening questions to be considered for the Zoom
interview.


All information is confidential.
 
Thank you, and we look forward to your response.

SIS International Research


QUESTION TITLE

* 1. FULL NAME




QUESTION TITLE

* 2. EMAIL




QUESTION TITLE

* 3. PHONE




QUESTION TITLE

* 4. LINKEDIN OR SOCIAL MEDIA LINK (FOR CERTIFICATION ONLY)




QUESTION TITLE

* 5. WHAT IS THE NAME OF THE COMPANY / HOSPITAL BUYING GROUP / DISTRIBUTOR /
RESELLER YOU WORK FOR?




QUESTION TITLE

* 6. WHICH COUNTRY IS THE COMPANY YOU WORK FOR LOCATED IN?

United States
Italy
UK
Germany
France
Spain
Poland
Other (please specify)


QUESTION TITLE

* 7. WHAT IS YOUR SENIORITY?

Entry level
Mid-level
Middle Manager
Senior Manager
Director
C-Suite and above


QUESTION TITLE

* 8. DO YOU USE ANY OF THE FOLLOWING NAVIGATION SYSTEMS AT YOUR HOSPITAL?

Brainlab
Medtronic
Globus Medical
NuVasive Medical
7D Surgical
Cascination
B. Braun / Aesculap
We do not use
Other (please specify)


QUESTION TITLE

* 9. ARE YOU AWARE OF PASSIVE SPHERE MARKER PRICES?

Yes
No


QUESTION TITLE

* 10. IS THE COMPANY YOU WORK AT, AN OPTICAL SPHERE MARKERS:

User (Hospital, Hospital buying group, University)
Manufacturer
Distributor
Reseller
Other (please specify)
Done

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