What type of facility do you work in?
Hospital
Imaging Center/Clinic
Womens Health Center
Orthopedic Practice/Center
Cancer Center/Oncology Practice
Consultant/Project Management
College/Training Institution
Distributor/OEM/VAR
Other 

What is your job function?
Radiologist
Radiologist Administrator
Radiology Technician
Chief Radiologist
Chief Mammographer
Mammography Technician
PACS/RIS Manager
Hospital Administrator
Business Manager
IT Manager
MIS Director
Chief Information Officer
Purchasing/Materials Manager
Other (specify) 

When are you considering purchasing a DR system?
0-6 months
7-12 months
Over 12 months
unknown

What best describes your role in purchasing?
Decision Maker
Recommend/Specify
Influence
Not involved

Is this purchase funded or budgeted?
Funded
Budgeted
Under Review/Seeking Budget
Not sure

Do you currently own a DR?
Yes
No

If yes, do you mind sharing the vendor?

Do you have a service agreement on your DR?
Yes
No
Unsure

Would you like to receive future email notices from Carestream Health about new products and services?
Yes
No

How can we be of assistance today?
Have a rep call
Send Literature

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