Appendix D
2010 Phase IIB Survey Instrument
INTRODUCTION
Dear colleagues,
Thank you for participating in this survey. Please answer these questions from the perspective of the firm mentioned in the email inviting your participation, even if you are no longer with that firm. If you are unable to do this, please do not answer the survey.
With your help, we can gather information that will better inform policy makers’ choices here in Washington thereby enabling us to maintain and strengthen the SBIR program at NSF.
Please note that the individual details of your survey response will be kept strictly confidential by the National Academies, and will not be shared with NSF, SBA, or any other government (or nongovernmental) agency.
Thank you for responding to our request. If you have any questions, please do not hesitate to contact me directly.
Dr. Charles Wessner
NRC Study Director
202-334-3801
This information is required only to determine your current status, and to ensure that we have accurate contact information. This information will be strictly private and will not be shared with any private entity or government agency—including NSF.
Last name: _________________________
First name: _________________________
Name of your current employer: _________________________
Your current position: _________________________
Current email address: _________________________
Current work telephone number (for follow up questions if necessary): _________________________
[ ] Principal Investigator
[ ] CEO
[ ] Other senior executive
[ ] None of the above
[ ] Yes
[ ] No
the total number of company founders: _________________________
the number of founders with university backgrounds: _________________
the number of founders with business background: ___________________
the number of founders with previous experience as company founders:
[ ] Under $100,000
[ ] $100,000 to < $500,000
[ ] $500,000 to
[ ] $1 million to
[ ] $5 million to
[ ] $20 million to
[ ] $100 million or more
[ ] Woman owned
[ ] Minority owned
[ ] Project has not yet completed Phase II
[ ] Efforts at this company have been discontinued
[ ] Project is continuing post Phase II technology development
[ ] Commercialization is underway
[ ] Products/Processes/Services are in use by target population/customer/consumers
Discontinued Projects only:
[ ] Technical failure or difficulties
[ ] Market demand too small
[ ] Level of technical risk too high
[ ] Not enough funding
[ ] Company shifted priorities
[ ] Principal investigator left
[ ] Project goal was achieved (e.g. prototype delivered for federal agency use)
[ ] Licensed to another company
[ ] Product, process, or service not competitive
[ ] Inadequate sales capability
[ ] Other (please specify)
Discontinued Projects only:
[ ] Technical failure or difficulties
[ ] Market demand too small
[ ] Level of technical risk too high
[ ] Not enough funding
[ ] Company shifted priorities
[ ] Principal investigator left
[ ] Project goal was achieved (e.g. prototype delivered for federal agency use)
[ ] Licensed to another company
[ ] Product, process, or service not competitive
[ ] Inadequate sales capability
[ ] Other (please specify)
Active Projects only:
[ ] No sales to date nor are sales expected
[ ] No sales to date, but sales are expected
[ ] Sales of product(s), process(es), services(s) or other sales (e.g. rights to technology, licensing, etc.)
Projects with anticipated sales only
Active Projects with Sales
13.1. Total Sales Dollars of Product(s) and/or Process(es) or Service(s) to date?: _________________________
13.2. Other Revenues (e.g., Rights to technology, Sale of spin off company, etc.) to date: _________________________
Projects with Sales
| Finalized Agreements with US Partners | Ongoing Negotiations with US Partners | Finalized Agreements with Foreign Partners | Ongoing Negotiations with Foreign Partners | |
| Licensing Agreement(s) | [ ] | [ ] | [ ] | [ ] |
| Sale of Company | [ ] | [ ] | [ ] | [ ] |
| Partial sale of Company | [ ] | [ ] | [ ] | [ ] |
| Sale of technology rights | [ ] | [ ] | [ ] | [ ] |
| Company merger | [ ] | [ ] | [ ] | [ ] |
| Joint Venture agreement | [ ] | [ ] | [ ] | [ ] |
| Marketing/distribution agreement(s) | [ ] | [ ] | [ ] | [ ] |
| Manufacturing agreement(s) | [ ] | [ ] | [ ] | [ ] |
| R&D agreement(s) | [ ] | [ ] | [ ] | [ ] |
| Customer alliance(s) | [ ] | [ ] | [ ] | [ ] |
16.1. Number of employees (if known) when Phase II proposal was submitted: _________________________
16.2. Current number of employees: _________________________
16.3. Number of current employees who were hired as a result of the technology developed during this Phase II project: _________________________
16.4. Number of current employees who were retained as a result of the technology developed during this Phase II project: _________________________
18.1. Patents applied for: _________________________
18.2. Patents received: _________________________
19.1. Copyrights applied for: _________________________
19.2. Copyrights received: _________________________
20.1. Trademarks applied for: _________________________
20.2. Trademarks received: _________________________
[ ] The Principal Investigator (PI) for this Phase II project was at the time of the project a faculty member.
[ ] The Principal Investigator (PI) for this Phase II project was at the time of the project an adjunct faculty member.
[ ] Faculty member(s) or adjunct faculty member (s) worked on this Phase II project in a role other than PI, e.g., consultant.
[ ] Graduate students worked on this Phase II project.
[ ] University/College facilities and/or equipment were used on this Phase II project.
[ ] The technology for this project was licensed from a University or College.
[ ] The technology for this project was originally developed at a University or College by one of the recipients in this Phase II project.
[ ] A University or College was a subcontractor on this Phase II project.
[ ] Yes, we applied for and received Phase IIB funding.
[ ] Yes, we applied for, but did not receive Phase IIB funding.
[ ] No, we did not apply.
[ ] Not aware of the program.
[ ] Unable to raise matching funds.
[ ] Could not raise matching funds that qualified.
[ ] Not enough funding to be worthwhile.
[ ] Process too onerous.
[ ] Other (please specify)
31.1. NSF funding: _________________________
31.2. Your funding: _________________________
[ ] A long time sponsor or vendor relationship
[ ] A long time technical partner
[ ] A long time purely financial partner or investor
[ ] A new financial partner or investor
[ ] Other (please specify)
[ ] Nothing
[ ] Some equity resulting in dilution
[ ] Significant equity and influence on company policy by a third party
[ ] A loan repayment agreement
[ ] Access to your intellectual property
[ ] Effective control of the company
[ ] First refusal options
[ ] Marketing and/or licensing options
[ ] Other (please specify)
[ ] Yes
[ ] No
[ ] Too early to tell
[ ] Other (please specify)
[ ] Had a negative long term effect
[ ] Had no long term effect
[ ] Had a small positive effect
[ ] Had a substantial positive long term effect
[ ] Had a transformative effect
[ ] Yes
[ ] No
[ ] Too early to tell
[ ] Other (please specify)
[ ] No additional effort needed except paperwork
[ ] Some additional effort, but less than 2 weeks Full Time Equivalent (FTE) for senior company staff
[ ] Somewhat difficult: 2-8 weeks effort FTE for senior company staff
[ ] Quite difficult: 2-6 months of effort FTE for senior company staff
[ ] Very difficult indeed: more than 6 months of effort FTE for senior company staff
[ ] Equity investments
[ ] Cash loans
[ ] Sales
[ ] Additional investments from founders
[ ] In-kind contributions from technical partners
[ ] In-kind contributions from marketing partners
[ ] Other (please specify)
[ ] Much easier than applying for other Federal awards
[ ] Easier
[ ] About the same
[ ] More difficult
[ ] Much more difficult
[ ] Not sure, or not familiar with other Federal awards or funding
[ ] Not at all
[ ] Somewhat
[ ] A great deal
[ ] It drove the process
[ ] Not at all
[ ] Not much
[ ] We discussed the application in detail.
[ ] The officer provided a lot of guidance during the application process.
[ ] Yes
[ ] No
[ ] Not sure
[ ] Very positive
[ ] Somewhat positive
[ ] Neutral
[ ] Somewhat negative
[ ] Very negative
[ ] Expanded (with equivalent funding taken from other phases of the SBIR program at NSF)
[ ] Kept at about the current level
[ ] Reduced (with equivalent funding applied to other phases of the SBIR program at NSF)
[ ] Eliminated (with equivalent funding applied to other phases of the SBIR program at NSF)
[ ] More than enough
[ ] About the right amount
[ ] Not enough
[ ] Yes
[ ] No
[ ] Not sure
[ ] Yes
[ ] No
[ ] Not sure