Your Name:
Mr.
Mrs.
Miss
Dr.
Prof.
Organization:
Title:
Address:
City:
State:
ZIP:
Country:
E-mail:
URL:
Phone:
Fax:
What is your primary
specialty:
Practitioner
Researcher
Dealer/Reseller
Home User
Other
What
operating system do you use (press Ctrl key
for mutliple selections):
Windows
Macintosh
Other OS
I don't know
What biofeedback instruments
do you currently have:
What biofeedback software do you
currently use :
What biofeedback product do
you consider to buy in the nearest future:
What are the company names that
carry this product(s):
In your
opinion, which company produces best biofeedback software
and hardware:
What modality do you
use for biofeedback(press Ctrl key for
mutliple selections)?
EMG
EDR/TEMP
EEG
ECG
EKG
GSR
REG
HEG
Other
How many
channels do you use in your system?
1 Channel
2 Channels
3 Channels
4 Channels
5 Channels
6 Channels
8 Channels
16 or more channels
What is your major interest in
biofeedback software product:
Are you
familiar with biofeedback technique in general?
Yes
No
Are you
familiar with blood flow biofeedback
technique?
Yes
No
To what extent do you like the
proposed products? Please answer on this 1 to 10 scale,
where 10 means "like it very much" and 1 means
"do not like it at all":
One-channel
stand-alone blood flow biofeedback device::(
Why did you like it/not like it?
What is the
likelihood that you would buy this product for $750?
Definitely Yes
Probably Yes
Maybe
Probably Not
Definitely Not
Why or why not?
Two-channel
stand-alone blood flow biofeedback device::(
Why did you like it/not like it?
What is the
likelihood that you would buy this product for $1,200?
Definitely Yes
Probably Yes
Maybe
Probably Not
Definitely Not
Why or why not?
One-channel
computerized blood flow biofeedback system::(
Why did you like it/not like it?
What is the
likelihood that you would buy this product for $999?
Definitely Yes
Probably Yes
Maybe
Probably Not
Definitely Not
Why or why not?
4-channel
computerized blood flow biofeedback system::(
Why did you like it/not like it?
What is the
likelihood that you would buy this product for $2500?
Definitely Yes
Probably Yes
Maybe
Probably Not
Definitely Not
Why or why not?
How many
channels would you like to have for your system?
I don't know
1 Channel
2 Channels
3 Channels
4 Channels
5 Channels
6 Channels
8 Channels
16 or more channels
What is your reaction to all
proposed product(s)?
Negative
Why so positive
(or negative)?
How interested are you in the
concept?
Not
interested at all
Not too interested
Somewhat interested
Quite interested
Very interested
What is the
products main strength?
What is the products main
weakness?
Would you like
to see anything changed? What are your suggestions?
Where would you use blood flow
biofeedback?
Biofeedback
Practice
Research
Home
Other
What operating
system do you prefer to use in your practice/research:
Windows 95/98/NT
Windows 3.1
MS DOS
Other OS
Macintosh
I don't know
Why did you answer the way you
did?
Where
did you find our about this site?
