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Appendix C: 2011 Survey Instrument
Pages 226-239

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From page 226...
... This survey seeks responses related to the [Phase 1 or Phase II] project entitled [insert project title]
From page 227...
... COMPANY INFORMATION SECTION 2. Have you already completed a questionnaire about another SBIR project for this National Academy survey related to [insert company name]
From page 228...
... What percentage of the company's revenues during its most recent completed fiscal year was Federal SBIR funding (Phase I and/or Phase II)
From page 229...
... Minority c. For those checking minority PI, add drop down list from SBA Asian-Indian Asian-Pacific Black Hispanic Native American Other 15.
From page 230...
... Aerospace Defense-specific products and services Energy and the environment Sustainable energy production (solar, wind, geothermal, bio-energy, wave) Energy storage and distribution Energy saving 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)
From page 231...
... During the funding gap between Phase I and Phase II for this award, which of the following occurred? Select all answers that apply [P2 only]
From page 232...
... behind 27. Did this award identify matching funds or other types of cost sharing in the Phase II Proposal?
From page 233...
... Another firm got to the market before us ____ l. Failed to receive Phase II award funding ____ m.
From page 234...
... ? If multiple SBIR Awards contributed to the ultimate commercial out come, report only the share of total sales appropriate to this SBIR project.
From page 235...
... Prime contractor for NASA f. Agency that awarded the Phase II (if not NASA or DoD)
From page 236...
... Number of related Phase II awards Phase I recipients skip to Q44 PART 7.
From page 237...
... PART 8. WORKING WITH PROJECT MANAGERS Project Managers take on different names at different agencies.
From page 238...
... We did not apply for Phase III funding 52. How effective was the Project Manager in connecting the company to sources of Phase III funding (such as acquisition programs or venture/angel fund ing)
From page 239...
... Additional comments on working with your TPOC or Program Officer [memo field]


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