eyeforpharma-EngageRx Survey

Is your company poised for growth through patient centricity?

Complete this survey for a chance to win a complimentary gold pass to the Patient Summit USA 2015

Dear colleague,

Thank you for taking time to contribute to eyeforpharma-EngageRx research on the latest patient-centric trends!

By completing this survey, you will be entered into a raffle to win a complimentary gold pass to the upcoming Patient Summit USA 2015 (October 19-20, Philadelphia).

We will ask you several questions which will help you identify whether your company is poised for growth through patient centricity.

DISCLAIMER: Please be as objective as possible when answering and please rest assured that your personal information will not be disclosed or shared with any third parties.

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* 1. First name

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* 2. Last name

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* 3. Job title

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* 4. Company

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* 5. The best email address to reach you if you win the conference pass

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* 6. My role is closest to the following description

Sales Manager

Sales Director

Sales VP

Marketing Manager

Marketing Director

Marketing VP

Patient Affairs Manager

Patient Affairs Director

Patient Affairs VP

Medical Affairs Manager

Medical Affairs Director

Medical Affairs VP

Other (please specify)

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* 7. I've been with my current company for ____ years

0-5

6-10

11-15

16-20

20-25

25+