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Supply Survey for Audiologists, Audiology Assistants & Hearing Instrument Specialists

1.I am currently employed in the United States as a(n):(Required.)
2.My current employment status is:(Required.)
3.My work setting at my primary place of employment is:(Required.)
4.Based on the total number of work hours accumulated at a given geographical location, in the past 6 months, my primary place of employment is in the state of: (select one answer)
5.The patient population(s) served at my primary place of employment, whether by me or other clinical staff, is best described as: (select one answer)(Required.)
6.The services offered by my primary place of employment, whether by me or other clinical staff, include: (select all that apply; click OK to move to next question)(Required.)
7.DISPOSABLE supplies refer to clinical items used up quickly (e.g. exam gloves, probe tubes, immittance tips, Earlinks, specula). In the past 6 months, DISPOSABLE supplies were purchased from the following company(ies) for my primary place of employment: (select all that apply; click OK to move to the next question)(Required.)
8.Based on my answer(s) to the previous question (Q5), in the past 6 months, DISPOSABLE supplies were primarily purchased from: (select one answer)(Required.)
9.DURABLE supplies refer to clinical items made to withstand continuous use (e.g. otoscopes, ear lights, headlamps, suction pumps).  Excluding diagnostic equipment (e.g. audiometers, tympanometers), in the past 6 months, DURABLE supplies were purchased from the following company(ies) for my primary place of employment: (select all that apply; click OK to move to the next question)(Required.)
10.Based on my answer(s) to the previous question (Q7), in the past 6 months, DURABLE supplies were primarily purchased from: (select one answer)(Required.)
11.Excluding price, the most important thing(s) a supply company must offer to keep/gain my business include(s): (select all that are considered critical; click OK to move to the next question)(Required.)
12.Based on my answer(s) to the previous question (Q9), the single most important thing a supply company must offer to keep/gain my business is: (select one answer)(Required.)
13.Taking into account my current and past work experience, the total number of years I have been working as an audiologist, audiology assistant and/or hearing instrument specialist is:(Required.)
14.The main reason(s) I and/or my current primary place of employment buy clinical supplies from a particular company is: (Required.)
15.In the past 6 months, my current primary place of employment has participated in the following buying groups, co-ops and/or negotiating networks: (select all that apply; click OK to move to the next question)(Required.)
16.Provide any additional comments/feedback about this survey topic below: (optional)
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