Survey Example
ANNEX: STRUCTURE for COMPANY FIELD SURVEY
This annex includes a sample structure for questionnaire for the field survey
on firms, to be used for defining scores for Matrix3.
Part 1. Identification of company
Generic: name, address, function of respondent, year of creation, sector,
size (employees), turnover
Type: SME, Start-up (1-5 years), part of (multinational) corporation, member of
cluster.
Part 2: R&D and innovation behaviour
Involvement in R&D activities (share of turnover and employees devoted to
R&D), % RD staff
Involvement in innovation activities: overall intensity and type of innovation,
degree of cooperation in innovation.
Part 3: Degree of externalisation of innovation activity
List of IMPACTSCAN services. For each service, rating of: 1) intensity of
need for the service; 2) internal or external response to the need; 3) when no
external response: reasons for non-externalisation; 4) when external response,
intensity of use of the service.
Part 4: Visibility and use of regional intermediary infrastructure
List of IMPACTSCAN regional intermediaries adding others such as
universities, research centres, private service companies and banks. For each
intermediary, rating of :1) visibility ; 2) existing cooperation ; 3) degree of
satisfaction with cooperation
Extent of cooperation within the region versus outside the region: list of
national and international cooperation sources: 1) visibility; 2) existing
cooperation; 3) degree of satisfaction with cooperation.
Part 5: Legibility of regional intermediary infrastructure
Association between IMPACTSCAN intermediaries and services: 1) for each
intermediary, rank up to 3 services perceived as being its main activity(ies);
2) for each service, name up to 3 intermediaries which you would contact in case
of need for this service.
Part 6: Effectiveness of regional intermediary infrastructure
List of IMPACTSCAN enablers. For each enabler, 1) self-rating of company’s
strength; 2) ranking of up to 3 most relevant services from IMPACTSCAN list of
services; 3) ranking of up to 3 most relevant intermediaries from IMPACTSCAN
list of intermediaries. For clients only: 4) rating of impact of the services
used on enabler and 5) rating of impact of the intermediaries used on enabler.
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