Model Instance Name: |
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red & strike-through: DELETE |
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NLM Clinical Trials Site Feedback |
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underlined & italicized: RE-ORDER |
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MID: Existing Measure - Please fill in; New Measure - DOT will fill in |
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pink: ADDITION |
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Date: |
7/25/2012 |
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blue + -->: REWORDING |
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NLM Clinical Trials Site Feedback CUSTOM QUESTION LIST |
bharati.hulbanni:
Hide (DO NOT DELETE) this column before sending to a client.
QID |
bharati.hulbanni:
there should be NO MORE THAN ONE LETTER IN HERE (Skip Logic Label)
Skip Logic Label |
Question Text |
bharati.hulbanni:
Hide (DO NOT DELETE) this column before sending to a client.
AnswerIDs (DOT) |
Answer Choices (limited to 50 characters) |
Skip to |
Type (select from list) |
Single or Multi |
Required Y/N |
bharati.hulbanni:
Can not have more than one CQ GroupType (denoted by an *) within one colored group in 'Special Instructions' .
Special Instructions |
CQ Label |
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Which one best characterizes your level of experience with the ClinicalTrials.gov Protocol Registration System (PRS)? |
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Beginner (first-time use or use rarely) |
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Single |
Y |
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Frequency of Accessing PRS |
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Intermediate (monthly or sporadic use) |
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Advanced (regular, weekly use) |
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How often do you access the PRS system? |
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This is my first time |
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Radio button, one-up vertical |
Single |
Y |
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Frequency of Accessing PRS |
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Once or twice a year |
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Daily |
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Weekly |
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Monthly |
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Which of the following best describes your role in the research you submit to ClinicalTrials.gov? |
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I am the principal investigator or site investigator of a study |
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Radio button, one-up vertical |
Single |
Y |
Skip Logic Group |
Role |
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I am a study statistician |
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I am the clinical research coordinator |
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I am on the study team (other than investigator, statistician, clinical research coordinator) |
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I am in a central regulatory affairs or ethics office |
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Other, please specify: |
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A |
Other best describes your role |
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Text area, no char limit |
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N |
Skip Logic Group |
Other Role |
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Which of the following tools and resources have been most helpful to you? (check all that apply)
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Quick Start Guide |
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Checkbox, one-up vertical |
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Y |
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Most Helpful Resources |
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User’s Guide |
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Administrator’s Quick Reference (Administrators Only) |
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Data Element Definitions |
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Protocol Review Criteria or Results Review Criteria |
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Simple Results Forms/Templates |
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"Problems: [Your Account] Records" List |
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Publication Report (Administrators Only) |
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ClinicalTrials.gov Web site information for study record managers (or the former PRS Information Web site) |
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Online presentations on entering and maintaining information in PRS |
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Contact with ClinicalTrials.gov staff via email or phone |
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I haven’t used any resources |
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I used resources but I didn’t find them helpful |
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I’m not sure |
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Other, please specify: |
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What other tool or resource has been helpful to you? |
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Text area, no char limit |
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N |
Skip Logic Group |
Other Resources |
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Have you or your organization received review comments on study record(s) from ClinicalTrials.gov staff? |
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Yes, the comments were helpful |
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Radio button, one-up vertical |
S |
Y |
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Review Comments |
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Yes, but the comments were not helpful |
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No |
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I’m not sure |
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Please describe why the comments were not helpful. |
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Text area, no char limit |
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N |
Skip Logic Group |
Why Comments Unhelpful |
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Have you ever contacted ClinicalTrials.gov for assistance? |
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Yes |
A |
Radio button, one-up vertical |
S |
Y |
Skip Logic Group |
Contacted for Assistance |
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No |
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Please provide comments on your level of satisfaction with the assistance provided. |
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Text area, no char limit |
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N |
Skip Logic Group |
Comments on Assistance Given |
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PRS periodically sends emails requesting you to take action on records. Are you receiving emails and, if so, is it clear what action should be taken? |
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No, I don’t remember receiving email |
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Checkbox, one-up vertical |
M |
Y |
Skip Logic Group |
Action Emails Received |
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Yes, I receive email and I understood what action to take |
A |
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Yes, I receive email but I did not understand what action to take |
A |
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Which types of emails from PRS do you consider to be most helpful? |
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Notification that record was not published and has Comments |
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Checkbox, one-up vertical |
M |
Y |
Skip Logic Group |
Most Helpful Emails |
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Notification that record was processed for publishing |
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Reminder to release records |
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Notice that record(s) has “Problems” |
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None of the emails are helpful |
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I am not sure |
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Are you responsible for releasing a record to ClinicalTrials.gov? |
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Yes |
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Radio button, one-up vertical |
S |
Y |
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Responsible for Records Release |
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No |
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I don't know |
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What is your biggest complaint about the PRS? |
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Text area, no char limit |
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N |
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Biggest Complaint |
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What comments do you have for improving the registration and results submission process? |
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Text area, no char limit |
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N |
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Improvements |
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Please provide one improvement that you would make to the PRS system. |
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Text area, no char limit |
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N |
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Improvement |