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Thank you for accepting our invitation. We need to ask you a few questions to see if you qualify for a survey that we are conducting. Start by answering the question below and press the CONTINUE button to answer each of the following questions: |
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Which class does the hospital you primarily work in belong to? |
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Which of the following best classifies the hospital you primarily work in? |
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Which one of the following best describes your primary practice location where you see/treat patients? |
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What percent of your time is spent in patient care? |
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What percent of your time is spent in each of the following areas? |
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| Values must add up to 100 |
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Of the patients you see in a typical month, how many are 24 months old or less? |
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Please select in the list below, the specialty infant formulas that you have recommended in the last 3 to 6 months for an infant between 1 and 6 months old: |
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Are you currently employed by a pharmaceutical company, a government regulatory agency, or do you work as a consultant to any market research agencies? |
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You qualify to participate in our HCP Global Survey.
It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact MBC at 1-212-679-4100 or by email at [email protected]
Thank you very much for your time. Please start with the survey now by clicking on the Continue button below.
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1. Please rate on a scale of 1-5 (5 most interested, 4 very interested, 3 interested, 2 somewhat interested, 1 not interested at all) your level of interest in learning more about:
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II. Key Beliefs Regarding Specialty Formula Selection |
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2. Do you agree with the following statements (Rate 1-5: 5 strongly agree, 4 mostly agree, 3 agree, 2 somewhat disagree, 1 completely disagree)
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3. Do you agree with the following statements (Rate 1-5: 5 strongly agree, 4 mostly agree, 3 agree, 2 somewhat disagree, 1 completely disagree) regarding the resolution of a feeding issue
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4. When you recommend a specials brand, on what factors do you base your recommendation? (Rate 1-5 in order of importance: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important)
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III. Anti Regurgitation (AR) Formulas |
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5. Do you believe there is any real difference between the Anti Regurgitation formulations currently available? |
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6. Please indicate the reasons why you believe there is a difference. |
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7. If you consider using anti-regurgitation formulas, how important are the following in choosing a specific anti-regurgitation formula (Rate 1-5 in order of importance: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important)
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8. Do you believe there is any real difference between the Lactose Free formulations currently available? |
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9. Please indicate the reasons why you believe there is a difference: |
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10. On a scale of 1-5, please indicate how important the following would be when choosing a lactose free formula (Rate 1-5 in order of importance: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important
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11. Do you believe there is any difference between the Soy formulations currently available? |
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12. Please indicate the reasons why you believe there is a difference: |
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13. On a scale of 1-5, please indicate how important the following would be when choosing a soya formula (Rate 1-5 in order of importance: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important)
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14. On a scale of 1-5, please indicate how often you consider using soy formula under the following conditions: 5 all of the time, 3 most of the time, 3 some of the time, 2 hardly ever, 1 not at all
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15. Do you believe there is any real difference between the Hypo-antigenic formulations currently available? |
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16. Please indicate the reasons you believe there is a difference: |
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17. On a scale of 1-5, please indicate how important this would be when choosing a Hypo-antigenic formula: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important
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18. Please select the feeling you experience when a patient (infant) overcomes a feeding issue as a result of your advice and intervention; rank relevance (Rate 1-5: 5 strongly agree, 4 mostly agree, 3 agree, 2 somewhat disagree, 1 completely disagree)
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Thank you for participating in this survey, but at this time your profile does not fit our criteria for the focus groups. |
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