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 NameLast Name
E-mail*
I'm an:

InventorMakerProduct DeveloperEntrepreneurIndustry-related Service ProviderOther
I'm a member of the UIA*

YesNot interestedNot 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 IdeaPrototypingPitching my ProductLicensingManufacturingMarket ResearchDeveloping Marketing Materials (sell sheets, packaging, etc.)Selling to RetailersService ProvidersAvoiding ScamsNetworking with Local inventorsInventor Trade ShowsMeeting Industry ProfessionalsIntellectual PropertyPatent ReformOther
My invention idea(s) fall into this category (check all that apply):

AutomotiveBaby & KidsClothing/FashionBeautyElectronicsEco-friendlyExercise & HealthFood ProductsHousewaresKitchen ItemsHunting & FishingLawn & GardenNoveltiesPetsService (new)Software/TechSportsToolsToys & GamesOther
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

CityState

Zip CodeCountry
Age

0 - 1718 - 2425 - 3435 - 4445 - 5455 - 6465 or more
Education

Less than HS diplomaHigh schoolSome collegeBachelors degreeGraduate degree
Employment

Employed Full-timeEmployed Part-timeSelf-EmployedUnemployed, looking for workRetiredDisabledOther
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
We're not robots & hope you aren't either. Please trace the drawing below to verify your humanity*
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Member Survey