* 1. What form of follow-up do you require? ---Please choose--- Call for presentation/demo Sales representative to call Price quote Information only * 2. What is your timeframe for purchase? ---Please choose--- Urgent Unsure 0-3 months 4-6 months 7-12 months 1 Year+ * 3. Is this project funded? ---Please choose--- Yes Budgeted Not Budgeted Prepared to Submit Submitted Unsure 4. Please check the box if you would like to receive information about new products or specials by e-mail.
5. Are you a current Xcelera user? Yes No
6. Which clinical domains are you considering to support with Xcelera? (check all that apply) Cardiac Cath Echocardiography Non-invasive Vascular Nuclear Cardiology Cardiac MR Cardiac CT Electrophysiology Access to ECGs
7. Where do you use Xcelera currently? Cath lab Echo lab Both Not applicable
8. Are you interested in adding results distribution services via Xcelera WebForum? Yes No Already use
