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Health IT Survey
Fields marked with * are required.
OMB Control No.: 0625-0237
Expiration Date: 12/31/15

COMPANY INFORMATION

Company*  
Name:*  
Address:*  
City:*  
State*:  
Zip Code:*  
Country:*  
Telephone*:  
Fax:  
Email:*  
Web Site:*  
     
COMPANY PROFILE
 
1. Were you satisfied with the assistance that you received from the Commercial Service before, during and after the trade mission?

Yes    No    Comments:
 
2. Did you find the Trade Mission informative and useful?

Yes    No    Comments:
 
3. Did you find the format and organization of the Trade Mission adequate?

Yes    No    Comments:
 
4. Would you be interested in visiting the same cities/regions in 2015?  If not, please indicate other cities/regions of interest.

Yes    No    Comments:
 
5. Were you satisfied with the type of contacts made during this Trade Mission? Were they the appropriate level?

Yes    No    Comments:
 
6. Do you think an extra day for individual follow-ups necessary? Would you prefer it included in the trade mission schedule or as an open day for your own program?

Yes    No    Comments:
 
7. Would you be interested in a customized matchmaking program?

Yes    No    Comments:
 
8. Would you be interested in exhibiting in the trade show area at MEDINFO 2015 in São Paulo, Brazil (August 19-23, 2015)?

Yes    No    Comments:
 
9. Did you find the hospital CEO’s roundtable in Porto Alegre productive? Would you like a similar roundtable included in next year’s program?

Yes    No    Comments:
 
10. Did you find the Director of DataSUS roundtable in Sao Paulo productive? Would you like a similar roundtable included in next year’s program?

Yes    No    Comments:
 
11. Would you like to add more site/hospital visits to the program? If so, what type of institutions (e.g. public or private hospitals?) Please feel free to suggest specific institutions.

Yes    No    Comments:
 
12. Did you find the seminar sessions in Porto Alegre and Sao Paulo useful?

Yes    No    Comments:
 
13. Were the networking receptions at the Porto Alegre City Hall and at the U.S. Consul General’s Residence useful? Were the level and type of contacts appropriate?

Yes    No    Comments:
 
14. Did you find the relationship building dinner in Sao Paulo useful? Was the format appropriate?

Yes    No    Comments:
 
15. Were you able to conclude or negotiate any type of pilot projects, partnership agreements, or sales contract?

Yes    No    Comments:
 
16. Please feel free to provide additional comments:

 
17. Could you provide us with a written testimonial of your participation in the HealthIT 2014 Trade Mission to Brazil that we can publish?

     


Public reporting for this collection of information is estimated to be 5 minutes per response, including the time for reviewing instructions, and completing and reviewing the collection of information. All responses to this collection of information are voluntary, and will be provided confidentially to the extent allowed by law. Notwithstanding any other provision of law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Reports Clearance Officer, International Trade Administration, Department of Commerce, Room 4001, 14th and Constitution Avenue, N.W., Washington, D.C. 20230.

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