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Qualification Questionnaire
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*
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Company Name
*
Contact Name
*
Contact Email
*
Contact Phone
*
Contact WhatsApp
Contact Telegram
Company Website
1. Portfolio Congruence
Please provide your top 5 manufacturers lines that you have distributions agreement with
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2. Specialty Congruence
Provide the products that you are representing related to the same segment of our product
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3. Competitive positioning
Are you considering your Company as small, medium or major player on your market?
For our specific product, would you considerate your Company as small, medium or major player?
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Your sales turnover is:
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Under 1 million
Between 1 and 5 million
Above 5 million
4. Clinical evidence
Do you have experience to support case report, observational trial or studies?
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Yes
No
If not, would you considerate to support the manufacturer for clinical evidence?*
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Yes
No
Comment:
5. KOL’s
Do you have KOL’s for this product segment
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Yes
No
If yes, could you provide a link to some studies of them
6. Employees and sale force
How many employees your company currently have?
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How many are in the sales department?
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How many would be representing this product?
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Do you have clinical specialist?
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Do you have regulatory specialist?
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Technical and service support
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7. Promotion
What is your typical strategy to launch new product?
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List the tradeshows or event that you are exhibiting related to this product only
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8. Training
How often de you provide sales training to your salesforce?
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Initial training with the manufacturer
Once a year
Bi-annual
Quarterly
Monthly
9. Regulatory
How long is your estimated time to put in place proper regulatory for the sales of this product in your territory?
Procedures
We are certified ISO 13485
We have a QMS in place
We have a recall procedure
We have a storage procedure
We have a complain procedure
We have a vigilance procedure
We have a traceability procedure
We have another ISO certification
Other procedures
10. The manufacturer required the purchase of demo equipment’s
The manufacturer required the purchase of demo equipment’s
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We do agree
We don’t agree
Comment
11. Any other information that would like to share?
Any other information that would like to share?
Name
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