Audiologists and improving Patients lives Survey

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* 1. Murray Hill National is a leader in the market research industry. We are inviting you to join our panel. Once you have joined we will call you for a variety of paid studies. Our studies typically offer no less $20 per hour and up to $100 per hour for your participation.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Which, if any, of the occupations listed below are you or anyone in your household, a close friend, or a relative employed in? (Select All That Apply)

An advertising agency

A marketing agency

A broadcast or print media company

A public relations firm

A marketing research company or a marketing research department of a company

A manufacturer, processor or wholesaler of food or beverage products

A management position in a company that sells food or beverages

A restaurant, grocery store or caterer

None of the above

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* 3. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 4. What is your race?

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

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* 5. What is your house hold income?

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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* 6. What is the highest level of education have you completed?

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* 7. Which of the following best describes your current title / role?

Audiologist

Hearing aid dispenser

General practitioner

ENT doctor

Hearing aid technician

Other

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* 8. Do you personally dispense hearing aids to patients?

Yes

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* 9. How many years have you been dispensing hearing aids for your patients?

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* 10. Which of the following best describes your role when it comes to the selection of a hearing aid for patients?

I am the sole/main decision maker (I select the hearing aid brand through dialogue with the client)

I am a joint decision maker, in consultation with colleague(s) (I mostly discuss brand selection with a colleague)

I do not have any influence into the choice of hearing aid brand (I fit the hearing aid, but the brand is chosen by someone else)

	Preferred	Aware of	Dispensed
Widex	Widex Preferred	Widex Aware of	Widex Dispensed
Rexton	Rexton Preferred	Rexton Aware of	Rexton Dispensed
Signia	Signia Preferred	Signia Aware of	Signia Dispensed
Oticon	Oticon Preferred	Oticon Aware of	Oticon Dispensed
Starkey	Starkey Preferred	Starkey Aware of	Starkey Dispensed
Phonak	Phonak Preferred	Phonak Aware of	Phonak Dispensed
ReSound	ReSound Preferred	ReSound Aware of	ReSound Dispensed
Other (please specific)	Other (please specific) Preferred	Other (please specific) Aware of	Other (please specific) Dispensed

Preferred

Aware of

Dispensed

Widex

Widex Preferred

Widex Aware of

Widex Dispensed

Rexton

Rexton Preferred

Rexton Aware of

Rexton Dispensed

Signia

Signia Preferred

Signia Aware of

Signia Dispensed

Oticon

Oticon Preferred

Oticon Aware of

Oticon Dispensed

Starkey

Starkey Preferred

Starkey Aware of

Starkey Dispensed

Phonak

Phonak Preferred

Phonak Aware of

Phonak Dispensed

ReSound

ReSound Preferred

ReSound Aware of

ReSound Dispensed

Other (please specific)

Other (please specific) Preferred

Other (please specific) Aware of

Other (please specific) Dispensed

	Strongly disagree	Disagree	Neither agree nor disagree	Agree	Strongly agree
I am regularly on the lookout for innovative hearing aid products	I am regularly on the lookout for innovative hearing aid products Strongly disagree	I am regularly on the lookout for innovative hearing aid products Disagree	I am regularly on the lookout for innovative hearing aid products Neither agree nor disagree	I am regularly on the lookout for innovative hearing aid products Agree	I am regularly on the lookout for innovative hearing aid products Strongly agree
I like to consider myself ‘up the curve’ in terms of new hearing aid technology	I like to consider myself ‘up the curve’ in terms of new hearing aid technology Strongly disagree	I like to consider myself ‘up the curve’ in terms of new hearing aid technology Disagree	I like to consider myself ‘up the curve’ in terms of new hearing aid technology Neither agree nor disagree	I like to consider myself ‘up the curve’ in terms of new hearing aid technology Agree	I like to consider myself ‘up the curve’ in terms of new hearing aid technology Strongly agree
I am always curious to learn more about new products in this area	I am always curious to learn more about new products in this area Strongly disagree	I am always curious to learn more about new products in this area Disagree	I am always curious to learn more about new products in this area Neither agree nor disagree	I am always curious to learn more about new products in this area Agree	I am always curious to learn more about new products in this area Strongly agree
I want to build good relationships with my customers	I want to build good relationships with my customers Strongly disagree	I want to build good relationships with my customers Disagree	I want to build good relationships with my customers Neither agree nor disagree	I want to build good relationships with my customers Agree	I want to build good relationships with my customers Strongly agree
I want to be considered as a trusted advisor to my customers	I want to be considered as a trusted advisor to my customers Strongly disagree	I want to be considered as a trusted advisor to my customers Disagree	I want to be considered as a trusted advisor to my customers Neither agree nor disagree	I want to be considered as a trusted advisor to my customers Agree	I want to be considered as a trusted advisor to my customers Strongly agree

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

I am regularly on the lookout for innovative hearing aid products

I am regularly on the lookout for innovative hearing aid products Strongly disagree

I am regularly on the lookout for innovative hearing aid products Disagree

I am regularly on the lookout for innovative hearing aid products Neither agree nor disagree

I am regularly on the lookout for innovative hearing aid products Agree

I am regularly on the lookout for innovative hearing aid products Strongly agree

I like to consider myself ‘up the curve’ in terms of new hearing aid technology

I like to consider myself ‘up the curve’ in terms of new hearing aid technology Strongly disagree

I like to consider myself ‘up the curve’ in terms of new hearing aid technology Disagree

I like to consider myself ‘up the curve’ in terms of new hearing aid technology Neither agree nor disagree

I like to consider myself ‘up the curve’ in terms of new hearing aid technology Agree

I like to consider myself ‘up the curve’ in terms of new hearing aid technology Strongly agree

I am always curious to learn more about new products in this area

I am always curious to learn more about new products in this area Strongly disagree

I am always curious to learn more about new products in this area Disagree

I am always curious to learn more about new products in this area Neither agree nor disagree

I am always curious to learn more about new products in this area Agree

I am always curious to learn more about new products in this area Strongly agree

I want to build good relationships with my customers

I want to build good relationships with my customers Strongly disagree

I want to build good relationships with my customers Disagree

I want to build good relationships with my customers Neither agree nor disagree

I want to build good relationships with my customers Agree

I want to build good relationships with my customers Strongly agree

I want to be considered as a trusted advisor to my customers

I want to be considered as a trusted advisor to my customers Strongly disagree

I want to be considered as a trusted advisor to my customers Disagree

I want to be considered as a trusted advisor to my customers Neither agree nor disagree

I want to be considered as a trusted advisor to my customers Agree

I want to be considered as a trusted advisor to my customers Strongly agree

Audiologists and improving Patients lives

MURRAY HILL PRIVACY STATEMENT/POLICY

Question Title

* 1. Murray Hill National is a leader in the market research industry. We are inviting you to join our panel. Once you have joined we will call you for a variety of paid studies. Our studies typically offer no less $20 per hour and up to $100 per hour for your participation.

Question Title

* 2. Which, if any, of the occupations listed below are you or anyone in your household, a close friend, or a relative employed in? (Select All That Apply)

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* 3. What is your age?

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* 4. What is your race?

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* 5. What is your house hold income?

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* 6. What is the highest level of education have you completed?

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* 7. Which of the following best describes your current title / role?

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* 8. Do you personally dispense hearing aids to patients?

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* 9. How many years have you been dispensing hearing aids for your patients?

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* 10. Which of the following best describes your role when it comes to the selection of a hearing aid for patients?

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* 11. Which of the following work settings do you spend most of your professional time in?

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* 12. Is the shop you work in owned by a hearing aid manufacturer?

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* 13. Is the shop you work in associated with, or a member of, a buying group?

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* 14. Please indicate below which hearing aid brand you prefer (select one only), as well any others that you are aware of and have dispensed in the last 6 months.

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* 15. Please indicate below how much you agree or disagree with the following statements: