LET US KNOW WHAT YOUR NEEDS ARE
Please take a few minutes to answer the following questions to determine if you
have use for this product:
1. Do you perform scoliosis survey radiographs at your
2. How many scoliosis surveys do you perform on a weekly
1 - 5
6 - 10
3. What percentage of your patient clientele are not able to sit
or stand for their scoliosis survey radiographs?
1 - 25%
25 - 50%
50 - 75%
75 - 100%
4. Do you perform pre or postoperative scoliosis surveys in
the Operating Room?
5. Do you do leg length studies on children or adults?
6. Would you like more information about our products?
7. Would you be willing to sign a confidentiality form? If "Yes",
please complete the information below:
Thank you for your cooperation!
JDDB Manufacturing, Inc.
Jacquin C. Youngblood, President
Post Office Box 270654
Kansas City, Missouri
Needs Assessment Survey