1234 1. Contact Information Please provide your contact information. Fields marked with a (*) are required.Company name* Name of contact person* First Last Telephone*Email address* Email address verification* 2. Questions about interest in Brokerage Please provide the following information . Fields marked with a (*) are required.Which is the main application domain you are active in?* Diagnostic robotics Interventional robotics Rehabilitation robotics Robotics supporting patients Robotics supporting healthcare professionals Would you be interested in participating in network meetings with other awarded parties from the DIH-HERO open calls? Yes No Would you be interested to to share experiences, challenges or other issues during these network meetings, and identify future opportunities for collaboration? Would you be interested in connecting with companies and organisations in healthcare robotics other than the awarded parties from the open calls through this network?* Yes No If, yes with which companies would you like to connect?*How frequently should online meetings in the network take place?* What type of meetings would you prefer?* 1 on 1 meetings Within a group of interested parties that are active in the same area With all interested parties awarded under the same call WIth all the interested parties receiving FSTP funding What are the benefits you would expect from the network and the meetings?*Are there any specific topics that you would like to discuss?*As DIH-HERO we also try to support you with further training and education. What are the topics or subjects you would welcome to get further information on via e.g. additional courses, webinars etc.?* Consent for Data Processing* I agree that the information given in this form may be processed by the DIH-HERO consortium for the objective of the DIH-HERO Brokerage meetings. Privacy statement* I agree to the privacy statement of DIH-HERO