Taking into account any survey bias the link below still highlights an important message. While your competitors are labouring away trying to build, (let alone get approved), the perfect website or social media strategy you could have produced and influenced consultant behaviour with a few well thought our mailers. Probably we all knew this but the bright lights of a big, new project can be very attractive - not least for agencies!

http://www.pharmafile.com/news/179844/survey-consultants-prefer-mailshots