0. Personal information
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| Title: * |
Mr.
Ms.
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| Last name *: |
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| First name *: |
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| Company: |
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| Street *: |
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| Postcode *: |
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| P.O. Box: |
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| City *: |
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| Country *: |
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| Phone: |
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| Fax: |
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| E-mail: * |
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1. Type of company / About the company (ownership)
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Large
Middle
SSI
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Locally owned
Country owned
Joint venture
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2. Nature of business
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Doctors (surgery) / practicing physician
Veterinarian
Dentists / dental surgeons
Doctors (hospitals, health center, other medical establishment)
Physiotherapists / ergotherapists
Hospital directors / managers
Hospital administration managers and staff
Hospital technical managers and staff
Biologists, microbiologists, biochemists, chemists
Process engineers, biomedical engineers
Visitors with medical-pharmaceutical vocational training (e.g. medical laboratory assistant, technician, doctor's assistant, nurse, carer)
Visitors from industry / manufacturer
Distributors / traders
Importer / exporter
Visitors from academies and universities
Visitors from government or international agencies
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3. Industry classification
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4. Are you a medical professional (Doctor)?
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Yes
No
If yes, replies to the next five points are essential.
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5. Organization details
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Government Hospital
Private Hospital
Private Clinic
Medical College
Nursing Home
Procurement Agency
Government Agency
International Agency (e.g. WHO, UNAIDS etc.)
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6. Name of the Hospital/Clinic/Organization
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7. Are you member of any specific
medical association (IMA, API etc.)?
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8. Your area of speciality
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Anesthesiology
Cardiology
Gastro-enterology
Pathology
General Physician
Otolaryngology
Neurosurgery
Oncology
Dermatology
Orthopaedics
Nuclear Medicine
Urology
Radiology/Imaging
General Surgeon
Ophthalmology
Physiotherapy
Nephrology
Nursing
Critical Care
Obstetrics & Gynaecology
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9. How did you get to know about this event?
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Invitation from organizer
Invitation from exhibitor
Newspaper ad
Invitation from hospital
Trade publication
Associations
Website of the event
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10. Please indicate the purpose of your visit.
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Initial Orientation
Information about new products, new developments
Information about products, product uses
Information about Prices/ Conditions
Cultivation of existing business relations
Initiating new business relations
Preparing conclusions of sale
Find agent / representative
Obtaining an overall impression of the market situation
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11. Your role in purchasing?
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Decisive
Co-decisive
Advisory function
Not involved
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12. Which product categories
are you interested in?
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Medical equipment
Alternative medicine
Biomedical
Diagnostics / Laboratory medicine
Health Care / Preventive Health Care
Rescue and emergency equipment
Medical services
Radiobiology
Brain science
Pathology / Forensic medicine
Physiotherapy / Orthopaedic technology
Therapy
Equipment and devices for dentistry branches
Equipment and devices for veterinary medicine
Medical consumables / Medical disposables
Hospital and clinical utilities
Medical furniture and equipment, Fabrics
Communication and information technology
Packaging
Medical literature
Hospital waste management
Institutes / Academies / Associations / Services
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13. Which medical publications/journals
do you read regularly?
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14. Which is your key source of
information about the medical sector?
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Colleagues/Associates
Newspapers
Medical Publications
Medical Association
Exhibitions
Internet
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15. Are you interested in receiving information
about MEDICAL FAIR INDIA 2011?
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Yes
No
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Messe Düsseldorf