Thank you for your interest in Philips Telehealth Solutions.
* 1. What form of follow-up do you require? Call for presentation/demo Sales representative to call Price quote Information only
* 2. How did you hear about Philips Telehealth Solutions Online search engine/website Tradeshow/event Advertisement/publication Mailer/postcard Philips Lifeline referral VNAA GPO program CAHSAH GPO program Referral from colleague or vendor
* 3. What is your timeframe for purchase? Urgent 0-3 months 4-6 months 7-12 months 1 Year+ Unsure
* 4. Is this project funded? Yes Budgeted Not Budgeted Prepared to Submit Submitted Unsure
* 5. Does your organization currently have a telehealth program? No, this is a new program Yes, existing program for 1-2 years Yes, existing program for > 2 years
6. Questions and comments