Clinical Trial Participant Satisfaction Assessment
Please help us improve clinical trials by sharing your feedback about your experience as a participant.
Participant Name
*
First Name
Last Name
Email Address
*
example@example.com
Age
*
How did you learn about this clinical trial?
*
Please Select
Doctor/Healthcare Provider
Online Advertisement
Social Media
Friend/Family
Other
Please rate your satisfaction with the following aspects of the clinical trial.
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Clarity of information provided
1
2
3
4
5
Ease of enrollment process
6
7
8
9
10
Communication with research staff
11
12
13
14
15
Professionalism of staff
16
17
18
19
20
Comfort of facility
21
22
23
24
25
Understanding of procedures
26
27
28
29
30
How would you rate the overall experience of participating in this clinical trial?
*
1
2
3
4
5
Did you feel your questions and concerns were addressed during the trial?
*
Yes, always
Most of the time
Sometimes
Rarely
Never
Would you participate in a clinical trial again in the future?
*
Yes
No
Not sure
What was the most positive aspect of your participation?
Please share any suggestions for improvement or additional comments.
Submit Assessment
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