Welcome to the National Academies SBIR/STTR Survey. Thank you for participating. This survey seeks responses related to the Phase II project entitled [insert project title], funded by [insert agency name], at [insert company name]. Funding was awarded in [insert FY].
Note: If you need to revisit the survey before finally completing it, you can return at the point you left off by clicking on the survey link in your email.
Finally, please use the navigational buttons within the survey. The back and forward buttons on your browser will not work.
Responses to this survey will be held in confidence by the survey team. No identifiable information will be provided to other Academy staff or to the Public Access File which provides researchers with access to project data.
In order to implement this commitment, the following steps have been taken, covering three areas:
All data except for text responses will be presented only in aggregated form in the report; no individually identifiable cells will be published.
In order to provide researchers with access while meeting the confidentiality commitment, the following steps will be taken by the Contractor prior to providing an expurgated data set to the Academy for inclusion in the Public Access File:
The raw (unexpurgated) data set will be retained by the Contractor for two years after publication of the report. All copies of the raw data will then be destroyed. The expurgated data set will be retained indefinitely in the Public Access File related to the project.
Two independent reviewers will analyze open ended responses with a view to redacting material that could provide clues as to the identity of the respondent prior to their inclusion in the Public Access File. In particular, this review will redact all company names, product names, and PI or other company official names, as well as other potential identity clues.
Do you approve the privacy and confidentiality policy as shown above?
[Yes/No. If no, jump to SBIR/STTR Process Issues.]
This information is required only to determine your current status, and to ensure that we have accurate contact information. Your information will be strictly private and will not be shared with any private entity or government agency; aggregated data will be shared in a published report.
First name: [Text box]
Last name: [Text box]
Current email address: [Text box]
Current work telephone number (for follow up questions if necessary): [Text box]
[Yes/No. If yes, skip to Part 3: PI/Senior Executive Information]
[Yes/No]
Yes
In part
No
$0
Under $100,000
$100,000-499,999
$500,000-999,999
$1,000,000-4,999,999
$5,000,000-19,999,999
$20,000,000-99,999,999
$100,000,000 or more
0%
1-10%
11-25%
26-50%
51-75%
76-99%
100%
0%
1-10%
11-25%
26-50%
51-75%
76-100%
Made an initial public offering
Established one or more spin off companies
Been acquired by/merged with another firm
Planning to make an initial public offering in the next two years
Entered into strategic partnership with major industry player
None of the above
[number box]
[Yes/No]
If the answer is “Minority-owned,” please indicate the ethnic minority group[s] that company owners [at the time of the award] belonged to.
Select all that apply.
Asian-Indian
Asian-Pacific
Black
Hispanic
Native American
Other [Text box]
If the answer is “Minority,” please indicate the ethnic minority group[s] the Principal Investigator for this award belongs to.
Select all that apply.
Asian-Indian
Asian-Pacific
Black
Hispanic
Native American
Other [Text box]
Aerospace and Defense
Aerospace
Defense-specific products and services
Energy and the environment
Renewable energy production (solar, wind, geothermal, bio-energy, wave)
Energy storage and distribution
Energy efficiency
Other energy or environmental products and services
Engineering
Engineering services
Scientific instruments and measuring equipment
Robotics
Sensors
Other engineering
Information technology
Computers and peripheral equipment
Telecommunications equipment and services
Business and productivity software
Data processing and database software and services
Media products (including web-, print- and wireless-delivered content)
Other IT
Materials
Materials (including nanotechnology for materials)
Medical technologies
Pharmaceuticals
Medical devices
Biotechnology (including therapeutic, diagnostic, combination)
Health IT (including mobile, big data, training modules)
Research tools
Other medical products and services
Other (please specify) [Text box]
[Yes/No. If no, skip to question 25]
[Yes/No. If No, skip questions 28-39.]
Non-SBIR/STTR federal funds
None $0
Under $100,000
$100,000-499,999
$500,000-999,999
$1,000,000-4,999,999
$5,000,000-9,999,999
$10,000,000-19,999,999
$20,000,000-49,999,999
$50,000,000 or more
Non-SBIR/STTR federal funds
For the company [Pulldown with choices from 1990-2014]
For any licensees [Pulldown with choices from 1990-2014]
[Pulldown with choices:
None $0
Under $100,000
$100,000-$499,999
$500,000-$999,999
$1,000,000-$4,999,999
$5,000,000-$9,999,999
$10,000,000-$19,999,999
$20,000,000-$49,999,999
$50,000,000 or more]
[Pulldown with choices:
None $0
Under $100,000
$100,000-$499,999
$500,000-$999,999
$1,000,000-$4,999,999
$5,000,000-$9,999,999
$10,000,000-$19,999,999
$20,000,000-$49,999,999
$50,000,000 or more]
If applicable please specify what “other” types of customers you have sold to as a result of this project.
[Text box]
[Text box]
Patents [Number box]
Copyrights [Number box]
Trademarks [Number box]
Published articles [Number box]
[Yes/No. If no, skip to question 47]
Process abandoned
Preparation under way for clinical trails
IND granted
In Phase 1 clinical trials
In Phase 2 clinical trials
In Phase 3 clinical trials
Completed clinical trials
SBIR Phase II
SBIR Phase IIB
Other NIH Funding
BARDA funding
Internal company and personal funding
Angel Funding
Venture funding
Funding from other companies
Other (specify) [Text box]
[Text box]
[Text box]
Extremely useful (5)
4
3
2
Not useful at all (1)
Comments
[Text box]
Preclinical trial preparation
Phase 1 trials
Phase 2 trials
Phase 3 trials
No/None of the above
[Text box]
[Yes/No. If no, skip questions 50-73.]
Phase I
Phase II
Both
Dawnbreaker
LARTA
Foresight
Other (specify) [Text box]
Extremely valuable
Very valuable
Somewhat valuable
Not very valuable
Not at all valuable
Continue to use the agency’s program
Use the funding for your own marketing consultant
Neither
[Text box]
This section seeks information about your interactions with your agency point of contact, who for the purposes of this survey is referred to as a “Project Manager.”
Invaluable (5)
4
3
2
No help (1)
contribute to the project
Very helpful
Somewhat helpful
Not very helpful
Not at all helpful
Very easy
Easy
Hard
Very hard
[Yes/No]
More than sufficient
Sufficient
Insufficient
[Text box]
Yes (Answer question 70)
No (Skip to question 71)
[Text box]
[Text box]
[Text box]
If you have additional comments and/or recommendations about working with a research institution in the context of SBIR/STTR, please enter them here.
[Yes/No]
[Yes/No. If no, skip to question 80]
[Yes/No]
[Yes/No. If no, skip to question 80.]
[Text box]
[Yes/No]
[Text box]
[Text box]