First Name
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Last Name
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Email
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Date of birth
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Phone number
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What is your gender?
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Female Male Gender diverse
Please select your country:
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Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea North Macedonia Norway Oman Pakistan Palau Palestine State Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe
In what country do you live?
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United Kingdom United States of America Other
In what part of United Kingdom do you reside in?
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England Northern Ireland Scotland Wales
In what part of England do you reside in?
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Bedfordshire Berkshire Bristol Buckinghamshire Cambridgeshire Cheshire City of London Cornwall Cumbria Derbyshire Devon Dorset Durham East Riding of Yorkshire East Sussex Essex Gloucestershire Greater London Greater Manchester Hampshire Herefordshire Hertfordshire Isle of Wight Kent Lancashire Leicestershire Lincolnshire Merseyside Norfolk North Yorkshire Northamptonshire Northumberland Nottinghamshire Oxfordshire Rutland Shropshire Somerset South Yorkshire Staffordshire Suffolk Surrey Tyne and Wear Warwickshire West Midlands West Sussex West Yorkshire Wiltshire Worcestershire
In what part of Scotland do you reside in?
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Aberdeenshire Angus Argyll and Bute City of Aberdeen City of Dundee City of Edinburgh City of Glasgow Clackmannanshire Dumfries & Galloway East Ayrshire East Dunbartonshire East Lothian East Renfrewshire Falkirk Fife Highland Inverclyde Midlothian Moray Na h-Eileanan Siar (Western Isles) North Ayrshire North Lanarkshire Orkney Islands Perth and Kinross Renfrewshire Scottish Borders Shetland Islands South Ayrshire South Lanarkshire Stirling West Dunbartonshire West Lothian
In what part of Wales do you reside in?
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Baenau Gwent Brigend (Pen-y-bont ar Ogwr) Caerphilly (Caerffili) Cardiff (Caerdydd) Carmathenshire (Sir Gaefyrddin) Ceredigion Conwy Denbighshire (Sir Ddinbych) Flintshire (Sir y Fflint) Gwynedd Isles of Anglesey (Ynes Môn) Merthyr Tydfil (Merthyr Tudful) Monmouthshire (Sir Fynwy) Neath Port Talbot (Castell-nedd Port Talbot) Newport (Casnewydd) Pembrokeshire (Sir Benfro) Powys Rhondda Cynon Taff Swansea (Abertawe) Torfaen (Tor-faen) Valeof Glamorgan (Bro Morgannwg) Wrexham (Wrecsam)
In what part of Northern Ireland do you reside in?
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Antrim Armagh Down Fermanagh Londonderry Tyrone
In what part of United States do you reside in?
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Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
In what city do you live in?
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Zip Code/Post Code
What is your current job status?
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Freelance Full time employed Full time employed-Business owner Part time employed Part time employed-Business owner Retired Self employed Student Unemployed
What is your company name?
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Industry:
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Agriculture Automotive Aviation Banking, accountancy, insurance and other financial services Beauty/Cosmetics Business, consulting and management Charity and voluntary work Construction Creative arts and design Culture Education Energy and utilities Engineering and manufacturing Environment Food and drink Government, public services and administration Healthcare Hospitality and events management Information technology (IT) and computer services Law Law enforcement and security Leisure and sport Marketing, advertising and PR Media and entertainment Medical Devices Other/None of the above Pharmaceuticals Professional business services Real Estate Recruitment and HR Retail Sales Science and pharmaceuticals Social care Software Development Technology Telecommunication Tourism Transport and logistics
Company size:
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1-10 employees 11-50 employees 51-200 employees 201-500 employees 501-1000 employees 1001+employees
Years in business:
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Less than 1 year 1-5 years 6-10 years 11-20 years 21+ years
Approximate salary bracket:
Optional - You may choose to not provide Less than £20,000 £20,000 - £30,000 £30,001 - £40,000 £40,001 - £50,000 £50,001 - £60,000 £60,001 - £80,000 £80,001 - £100,000 Over £100,000
Company turnover:
Optional - You may choose to not provide Less than £100,000 £100,000 - £500,000 £500,001 - £1 million £1 million - £5 million £5 million – £10 million Over £10 million
Website/URL
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Which of the following best describes your current role or function in the hospital with which you are primarily affiliated?
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How many years have you been in your position?
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How familiar are you with your facilities use of each of the Surgical / Operating (OR) Digital Solutions listed below?
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How many of the following types of soft tissue surgical robotic systems are installed at your hospital or hospital system with which you are primarily affiliated?
# of Cambridge Medical Robotics/CMR Surgical
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# of Intuitive da Vinci S/Si
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# of Intuitive da Vinci S/Si
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# of da Vinci Xi
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# of da Vinci 5
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# of Medtronic Surgical Robot (Hugo)
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# of Moon Surgical (Maestro)
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# Other Soft tissue surgical robot
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Section Buttons
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If you are human, leave this field blank.
