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 do you plan to purchase a Kodak Directview CR Elite or Classic 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 your purchase funded or budgeted?
Funded
Budgeted
Under Review/Seeking Budget
Not sure

Do you currently own a CR?
Yes
No

If yes, do you mind sharing the vendor?

Do you have a service agreement?
Yes
No

Would you like to receive future email notices?
Yes
No

How can we be of assistance today?
Have a rep call
Product Demo requested at customer site
Send Literature and Demo CD

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