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Questions marked with a * are required Exit Survey
 
 
* What kind of prosthesis/implant(s) do you wear?
 
Ear Implant
 
Hearing Aid
 
Visual Aid
 
Leg(s)
 
Arm(s)
 
Hand(s)
 
Tooth Filling
 
Internal Implant
 
Other
 

 
 
 
If you chose "Internal Implant" above, please specify the type:
   
 
 
 
* Please select the state you live in:
 
 
 
If you would like to answer, how much do you make per year?
 
Less than $15,000
 
Less than $30,000
 
Less than $50,000
 
Less than $100,000
 
More than $100,000
 
More than $500,000
 
 
How important were each of the following factors while purchasing your device?
Very Unimportant Somewhat Unimportant Neutral Somewhat Important Very Important N/A
* Pricing
* Durability
* Functionality
* Sports Performance
* Electrically Powered
* Ease of Use
* Responsiveness of support staff
* Look / Style
* Had no options while purchasing
 
 
 
* What types of consumer electronics do you own?
 
Smart Phone
 
Tablet
 
Laptop
 
Desktop
 
Bluetooth Headset
 
Portable Speakers
 
MP3 Player
 
Fitness Trackers
 
Wearables
 
Other
 

 
 
 
* How often do you purchase a new consumer electronic?
 
once a decade
 
once in 5 years
 
less than once a year
 
once or twice a year
 
once every few months
 
once a month
 
 
 
* If there was a buy-back program so that you could turn in your old prosthetic for a new one at a discount, would you be interested?
 
Very interested
 
Somewhat interested
 
Neutral
 
Somewhat uninterested
 
Very uninterested
 
 
 
* What do you wish your prosthetic/implant(s) could do to make your life better?
   
 
 
 
If you would like to be contacted in the future regarding secure, affordable, technology-enhanced prosthetics, please write your preferred email below: