UIA Input and Feedback Survey

Member Survey

This information helps us deliver the latest news, trends, and events and programs that matter to you.
Name *

First Name Last Name
E-mail *
I'm an:

Inventor Maker Product Developer Entrepreneur Industry-related Service Provider
I'm a member of the UIA *

Yes Not interested Not yet, but please sign me up
Member of an another inventor club or group?
If yes, please let us know which one.
I'm looking for information on:

Getting Started with an Idea Prototyping Pitching my Product Licensing Manufacturing Market Research Developing Marketing Materials (sell sheets, packaging, etc.) Selling to Retailers Service Providers Avoiding Scams Networking with Local inventors Inventor Trade Shows Meeting Industry Professionals Intellectual Property Patent Reform
My invention idea(s) fall into this category (check all that apply):

Automotive Baby & Kids Clothing/Fashion Beauty Electronics Eco-friendly Exercise & Health Food Products Housewares Kitchen Items Hunting & Fishing Lawn & Garden Novelties Pets Service (new) Software/Tech Sports Tools Toys & Games
Related to your invention idea, what are the top three challenges you are facing right now?
What else would you like us to know?
Demographics

Why are we collecting this data? Collecting and analyzing our membership demographic data makes it possible to effectively manage, allocate, and assess resources and programs for our community. We will not share your individual information with anyone, period.
Gender
Address

Street Address

Street Address Line 2

City State

Zip Code Country
Age

0 - 17 18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 or more
Education

Less than HS diploma High school Some college Bachelors degree Graduate degree
Employment

Employed Full-time Employed Part-time Self-Employed Unemployed, looking for work Retired Disabled Other
Household Income

$0 - $24,999 $25,000 - $49,999 $50,000 - $74,999 $75,000 - $99,999 $100,000 - $149,999 $150,000 or more
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Member Survey