MY DELPHI NEEDS

1. Institution reporting interest in the service

1.1. Name of the institution *

1.2. Name and surname of the applicant *

1.3. Department / position *

1.4. Address *

1.5. Phone *

1.6. Fax

1.7. Email *

1.8. Www

2. Proposed range of services*

3. Company profile

3.1. Basic products / services *

3.2. Basic technologies applied in the company *

3.3. Other areas of potential cooperation (apart from the Delphi survey service) *

3.4. Company meets the enterprise criterion *

4. Information about the company's needs related to the Delphi survey

4.1 Objectives of the Delphi survey (you can choose more than one) and their priorities (1 to 5)

Objective	Priority
Launching a new product on the market
Development of new technology
Purchase a license, patent, or technology
Audit and study of technological needs
Mergers and acquisitions of a technological nature
Building company’s R&D strategy
Building a global business strategy

4.2 Parameters of the Delphi questionnaire

4.2.1. Expected number of questions *
4.2.2 Expected number of rounds *
4.2.3 Time horizon of the forecast *
4.2.4 Number of intermediate horizons *
4.2.5. Desired number of experts involved in the study *
4.2.6 Delphi survey type *
4.2.7. Will you need a dedicated web page with information about your project and instructions to the respondents? *
4.2.8 Will the respondents use just Likert scales, without any quantitative questions? *
4.2.9 Specify the scope of statistical analysis needed to get a survey evaluation *
4.2.10 Will you also need cluster analysis and scenario building? *
4.2.11. Will the respondent have a Delphi survey background sufficient to provide informed replies? (i.e. how intensive will be the expected user support) *
4.2.12 Can the survey results be used in a professional/promotional publication as a "successful use case" report *

4.3. Detailed information on company’s needs relating to market research (geographic scope, industries, products, etc.), technology trends, and corporate strategy building *

4.4. Proposed date of commencement of the service (quarter/year) *

4.5. Planned service period *

4.6. Market research and technology expertise held by the company, which can be used to deliver the service *

4.7. Will a new venture requiring external financing be created in connection with the implementation of the purpose of the Delphi survey? If so, are you interested in the services of the Technology Transfer Center for the search for such funding and to what extent? *

* - Mandatory fields