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1. Area of Employment*: Indicate the primary description of your employer by marking the appropriate box.

A. Manufacturer of Finished Medical Devices

B. Manufacturer of In Vitro Diagnostics

C. Manufacturer of Pharmaceuticals

D. Manufacturing Services Provider (includes contract manufacturing, packaging, sterilization, R&D, testing, and design)

E. Manufacturing Consultant

F. Government/Academic

Z. Others Allied to the Field (please specify*)

2. Job Function*: Indicate your primary job function by selecting the appropriate box.

31. Design Engineering

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35. Process Engineering

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99. Other (please specify*)

3. Are you involved in the design of medical products?

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5. Which of the following products do you recommend, specify or purchase? Check all that apply.

A. Assembly Equipment/Service

B. Adhesive Coatings

C. Cleanroom Products

D. Computer Hardware/Software

E. Diagnostics Products

F. Electrical/Electronic Components

G. Filters

H. Materials

I. Motors/Motion Control Products

J. Packaging

K. Plastics/Elastomers

L. Printing/Bar Coding

M. Pumps/Valves

N. Sensors

O. Sterilization

P. Test Equipment/Serivices

Q. Tubing and Fittings

R. Other (please specify)

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