Center for Innovation & Development Idea Submission
Page 1
Contact Information
First Name
Last Name
Company
Street Address
City
State
Postal Code
County
Phone
Email
How did you hear about this service? Who referred you?
Page 2
Describe the opportunity, invention, problem, or concept.
Who are your primary target customers?
What's in it for them? What problem will it solve or what benefit will it deliver?
Page 3
How many hours have you spent looking for a product like yours?
What products like yours are already on the market?
How is your product better than what is already available?
What data do you have that proves your solution is better than what is available today?
What is the biggest concern or fear you have about your idea/product?
Provide the date of the earliest documented record of your idea (month/day/year).
Page 4
Have you kept a log-book or journal of your work on this invention?
Yes
No
Has your idea/product been disclosed in a public venue?
Yes
No
Have you pursued a patent?
Yes
No
Investment of time and dollars in idea/product:
Approximately how much money have you invested?
Approximately how many hours?
Page 5
ESTABLISHING A BUSINESS:
I have a written business model canvas or growth wheel plan
I have a business plan
I need help with a business plan
CURRENT DEVELOPMENT STAGE: Choose one or more of the following:
A Concept
Sketched out/written out
A physical working model/prototype
CAD files/drawings or otherwise formally documented
Optimized for manufacturing/packaging and shipping
Already selling and shipping
Select one or more of the following:
I am employed
I am retired
I am unemployed
I am a student
What is it you want to do next with your idea/invention?
Please share your expectations going forward.
Page 6
If you are interested in a non-disclosure agreement, please email corprelations@uwstout.edu.
Once you submit your survey, you will receive a response within two to five days.
UW-Stout Center for Innovation & Development (CID)