| 1. How familiar are you with NOA Medical Industries, Inc. bed systems? |
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a. Very familiar
b. Somewhat familiar
c. Somewhat unfamiliar
d. Very unfamiliar |
| 2. How familiar are you with the NOA Medical Industries, Inc. sleep accessory line? |
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a. Very familiar
b. Somewhat familiar
c. Somewhat unfamiliar
d. Very unfamiliar |
| 3. Have you purchased NOA Medical products in the past? |
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a. Yes b. No
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| 7. When purchasing beds for your institution, what features/options do you require? (Please check all that apply.) |
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| 8. How recognizable is the NOA Brand in relation to other bed system options in today’s marketplace? |
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a. Very recognizable
b. Somewhat recognizable
c. Neither recognizable or unfamiliar
d. Somewhat unfamiliar
e. Very unfamiliar |
| 9. Are you aware of NOA Medicals newest bed system introduction, the Elite Riser? |
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a. Yes b. No |
| 10. On a scale of 1 – 5, 5 being very appealing, how would you rate our visual appeal in regards to bed design and appearance? |
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1 2 3 4 5 |
| 11. Have you been exposed to NOA Medicals advertisements in magazines and/or websites? |
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a. Yes b. No
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| 13. What drives your choice in purchasing adjustable electric or manual beds for your facility? (Please rate 1 through 5, 1 being the most important.) |
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| 14. Which of these best describes your job category? |
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a. Administration
b. Nursing
c. Rehabilitation
d. Maintenance
e. Purchasing |
| 15. Which best describes your facility focus? |
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a. Assisted Living
b. Acute Care Hospital
c. Rehabilitation Facility
d. Skilled Nursing Facility
e. Alzheimer’s Special Care Facility
f. Long term Care/Nursing home
g. Other |
| 16. Is your facility planning on purchasing new bed systems in 2010? |
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a. Yes b. No |
| 17. Do you belong to any Group Purchasing organizations or Buying Groups? |
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a. Yes b. No
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| Email Address: |
| Please add any additional comments regarding NOA Medical, and information on any new products or services you would be interested in seeing from NOA Medical Industries, Inc., etc. |
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