First name

Last name

Email*

Phone number

Mobile phone number

City

State/Region

Company name

Website URL

What is your practice specialty?

Do you currently have a C-Arm that you are upgrading or is this a new install?

If you are currently using a C-Arm, which system do you have?

How will you be using the C-Arm?

Spine

Peripheral

Vascular

In adding a new C-Arm or upgrading, are there specific features that you are looking for?

What are some of the pros/cons that you experienced with your current C-Arm?

Do you have a C-Arm table, or will you need a C-Arm table?

Ideally, when would you like to have the equipment installed in your office?

Who will be the decision maker in the process and what is the buying process?

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