This document analyzes the knowledge transfer process between small and medium enterprises (SMEs) and public knowledge institutes in the Netherlands. It conducted interviews with stakeholders and a survey of 185 SMEs. The results found that SMEs have difficulties finding the right partner institute and knowledge is not always clear. The initial cooperation phase is most critical and experience improves outcomes. The role of intermediaries is sometimes unclear. Recommendations include clarifying the intermediary's role, improving capacity at institutes, and making more knowledge accessible online.