Radiopharmacy Regulation Survey Form
Share your radiopharmacy regulation practices, compliance status, and operational challenges. Please complete all survey items based on your facility's current procedures.
Facility and respondent context
Respondent role or position
*
Please Select
Pharmacist in charge
Radiopharmacy manager
Technologist
Quality assurance staff
Regulatory/compliance staff
Operations staff
Other
Facility type
*
Please Select
Hospital-based radiopharmacy
Independent radiopharmacy
Clinic-based radiopharmacy
Academic/research facility
Nuclear medicine department
Centralized production facility
Other
Facility location or region
*
Regulatory compliance survey
Overall regulatory compliance status
*
Non-compliant
1
2
3
4
Fully compliant
5
1 is Non-compliant, 5 is Fully compliant
Frequency of internal compliance reviews
*
1
2
3
4
5
Clarity of current radiopharmacy regulations
*
Very unclear
1
2
3
4
Very clear
5
1 is Very unclear, 5 is Very clear
Operational controls and documentation
Operational control areas
*
Rows
Not in place
Partially in place
Mostly in place
Fully in place
Licensing and permits
1
2
3
4
Storage and handling procedures
5
6
7
8
Staff training and documentation
9
10
11
12
Recordkeeping
13
14
15
16
Audit readiness
17
18
19
20
Additional comments on operational controls and documentation
Regulatory concerns and follow-up
Top regulatory challenge or gap
*
Requested follow-up action
Please Select
Regulatory guidance
Technical assistance
Clarification of requirements
Follow-up inspection
Corrective action review
No follow-up needed
Other
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