This is not a substitute for legal advice. An attorney must be consulted. "This work is protected under the copyright laws of the United States. No reproduction, use, or disclosure of this work shall be permitted without the prior express written authorization of the copyright owner. Copyright © 1994 - 2024 by LAWCHEK, LTD." |
SAMPLE
FORM PATENT
QUESTIONNAIRE
Purpose The
purpose of this Patent Questionnaire is to (1) clarify the
invention; (2) create a legal document recording the date of
invention; and (3) facilitate a higher quality and less
expensive patent application.
Overview Generally,
the following major pieces of information will expedite patent
prosecution.
(1)
Drawings or photographs of the invention (preferably
labeled with numbers for important parts).
(2)
A written description referring to the
drawings/photographs and identifying:
how
the invention works;
how
the invention is made; and
what
parts make the invention better than existing devices and why.
(3)
The above information should be read, signed and dated by
the inventor. Further,
a non-inventor should read the document, witness the inventor
signing the document and sign the document "read &
understood by Gerald Klut1 on 04/02/05.1”
Specific
Information The
following pieces of specific information are necessary for
efficient patent prosecution (attach additional pages as
necessary). 1.
Name, residence address and citizenship of inventor(s). Include as inventor everyone who
(1)
Tony Charter
40 Cobler St. SE, Kwit, ID
83406, U.S.
2
(2)
Henry Fox
2221 45th St. NE, Kwit, ID
83406, U.S.
2
(3)
Carla Fox
2221 45th St. NE, Kwit, ID
83406, U.S.
2 2.
Title of invention.
Rowdy Ball
3 3.
Date invention conceived.
03/30/05
4 4.
Date invention first successfully tested.
04/05/05
5 5.
Names of persons with knowledge of testing.
Sarah Charter, Gerald
Klut
6 6.
Was invention disclosed outside of company?
If so, give date(s) and/or title.
No 7
This
is not a substitute for legal advice. An
attorney must be consulted. |
7.
Date of first commercial use, sale or offer for
sale. 04/10/05
8 8.
Describe old methods or apparatus and indicate
disadvantages. Regular
playing balls 9.
Describe the problem your invention fixes. Allows
children to play indoors without
damaging surroundings.
10 10.
Generally describe invention (Attach pertinent drawings,
photographs, sketches, test data, or flow sheets.
Use additional pages if necessary).
See attached sheets. 11 11.
Give details of its structure and/or operation, i.e., how
it fixes the problem. Soft
material does not
disturb other objects when thrown.
12 12.
State the advantages of the changed/improved features.
None
13
FOR MANAGEMENT USE ONLY: The
following pieces of specific information are necessary to
perform a cost-benefit analysis with regard to patent
protection. 13.
Is the invention/product central to Company's present
business? Yes
14 14.
Is the invention/product central to Company's future
business?
No
15 15.
Can invention be used/sold without competitors gaining
knowledge of invention?
No
16 16.
How important is invention toward sales, as viewed by
consumer? Significant
17 17.
Estimate yearly sales of invention/product:
Units:
1,00018
Dollars: 5,00018
18.
Estimate duration (in years) of market in
invention/product.
5
19
This
is not a substitute for legal advice. An
attorney must be consulted. |
The
above is an example of how a typical Patent Questionnaire form may be
completed.
1.
The full name of the witness of the document and the date it was
read/understood.
2.
The full name, address, and citizenship of the inventor(s).
3.
The name of the invention.
4.
The date the idea was first discovered.
5. The date the idea was first tested.
6. The full names of the others with knowledge of the inventions testing
7.
The name of the company that was shown the invention before hand.
The dates and the titles of the
product
when it was shown.
8.
The date the invention was first placed on the market.
9.
Concise descriptions of old products that are similar but have
disadvantages.
State the disadvantages.
10.
Describe the previous problem(s) your invention corrects.
11.
A concise description of the invention.
Attachments may be included.
12.
Description of how the invention fixes the problem.
13.
State any changed or improved features of the invention.
14.
Answer Yes or No regarding the relationship of your invention to
your Company.
15.
Answer Yes or No regarding the relationship of your invention to
your Company.
16.
Answer Yes or No regarding the relationship of your invention to
your Company.
17.
Indicate the degree of importance of the invention to the user.
18.
Estimate the number of inventions predicted to be sold and the
amount to be earned.
19.
Estimate the number of years the product will be on the market.
This is not a substitute for legal
advice. An
attorney must be consulted.
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