681 2013 681 NLM Clinical Trails Site Feedback

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Overview

Current Model Qsts
Current CQs

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Sheet 1: Current Model Qsts

Model Instance Name:
NLM Clinical Trials Site Feedback
MID:
Date:	7/25/2012
NLM Clinical Trials Site Feedback MODEL QUESTION LIST
Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	NOTE: All questions under each element are required. Element questions are partitioned among surveys.		Satisfaction questions are required. Satisfaction questions appear on all surveys.		Future behaviors may be modified based on your site's objectives. Future behavior questions appear on all surveys.
	REQUIRED ELEMENTS (common to all websites)
			Satisfaction
			What is your <strong>overall satisfaction</strong> with this site?
			How well does this site <strong>meet your expectations</strong>?
			How does this site <strong>compare to your idea of an ideal website</strong>?

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Sheet 2: Current CQs

Model Instance Name:				red & strike-through: DELETE
NLM Clinical Trials Site Feedback				underlined & italicized: RE-ORDER
MID: Existing Measure - Please fill in; New Measure - DOT will fill in				pink: ADDITION
Date:	7/25/2012			blue + -->: REWORDING
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
MMW3675		Which one best characterizes your level of experience with the ClinicalTrials.gov Protocol Registration System (PRS)?	MMW3675A01	Beginner (first-time use or use rarely)		Radio button, one-up vertical	Single	Y		Frequency of Accessing PRS
			MMW3675A02	Intermediate (monthly or sporadic use)
			MMW3675A03	Advanced (regular, weekly use)
MMW3676		How often do you access the PRS system?	MMW3676A01	This is my first time		Radio button, one-up vertical	Single	Y		Frequency of Accessing PRS
			MMW3676A02	Once or twice a year
			MMW3676A03	Daily
			MMW3676A04	Weekly
			MMW3676A05	Monthly
MMW3677		Which of the following best describes your role in the research you submit to ClinicalTrials.gov?	MMW3677A01	I am the principal investigator or site investigator of a study		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			MMW3677A02	I am a study statistician
			MMW3677A03	I am the clinical research coordinator
			MMW3677A04	I am on the study team (other than investigator, statistician, clinical research coordinator)
			MMW3677A05	I am in a central regulatory affairs or ethics office
			MMW3677A06	Other, please specify:	A
MMW3678	A	Other best describes your role				Text area, no char limit		N	Skip Logic Group	Other Role
MMW3679		Which of the following tools and resources have been most helpful to you? (check all that apply)	MMW3679A01	Quick Start Guide		Checkbox, one-up vertical	M	Y	Skip Logic Group	Most Helpful Resources
			MMW3679A02	User’s Guide
			MMW3679A03	Administrator’s Quick Reference (Administrators Only)
			MMW3679A04	Data Element Definitions
			MMW3679A05	Protocol Review Criteria or Results Review Criteria
			MMW3679A06	Simple Results Forms/Templates
			MMW3679A07	"Problems: [Your Account] Records" List
				Problem Resolution Guide
			MMW3679A08	Publication Report (Administrators Only)
			MMW3679A09	ClinicalTrials.gov Web site information for study record managers (formerly PRS Information Web site)
			MMW3679A10	Online presentations on entering and maintaining information in PRS
			MMW3679A11	Contact with ClinicalTrials.gov staff via email or phone
			MMW3679A12	I haven’t used any resources
			MMW3679A13	I used resources but I didn’t find them helpful
			MMW3679A14	I’m not sure
			MMW3679A15	Other, please specify:	A
MMW3680	A	What other tool or resource has been helpful to you?				Text area, no char limit		N	Skip Logic Group	Other Resources
MMW3681		Have you or your organization received review comments on study record(s) from ClinicalTrials.gov staff?	MMW3681A01	Yes, the comments were helpful		Radio button, one-up vertical	S	Y	Skip Logic Group	Review Comments
			MMW3681A02	Yes, but the comments were not helpful	A
			MMW3681A03	No
			MMW3681A04	I’m not sure
MMW3682	A	Please describe why the comments were not helpful.				Text area, no char limit		N	Skip Logic Group	Why Comments Unhelpful
MMW3683		Have you ever contacted ClinicalTrials.gov for assistance?	MMW3683A01	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group	Contacted for Assistance
			MMW3683A02	No
MMW3684	A	Please provide comments on your level of satisfaction with the assistance provided.				Text area, no char limit		N	Skip Logic Group	Comments on Assistance Given
MMW3687		Are you responsible for releasing a record to ClinicalTrials.gov?	MMW3687A01	Yes		Radio button, one-up vertical	S	Y		Responsible for Records Release
			MMW3687A02	No
			MMW3687A03	I don't know
MMW3685		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?	MMW3685A01	No, I don’t remember receiving email		Checkbox, one-up vertical	M	Y	Skip Logic Group	Action Emails Received
			MMW3685A02	Yes, I receive email and I understood what action to take	A
			MMW3685A03	Yes, I receive email but I did not understand what action to take	A
MMW3686	A	Which types of emails from PRS do you consider to be most helpful?	MMW3686A01	Notification that record was not published and has Comments		Checkbox, one-up vertical	M	Y	Skip Logic Group	Most Helpful Emails
			MMW3686A02	Notification that record was processed for publishing
			MMW3686A03	Reminder to release records
			MMW3686A04	Notice that record(s) has “Problems”
			MMW3686A05	None of the emails are helpful
			MMW3686A06	I am not sure
MMW3688		What is your biggest complaint about the PRS?				Text area, no char limit		N		Biggest Complaint
MMW3689		What comments do you have for improving the registration and results submission process?				Text area, no char limit		N		Improvements
		Please provide one improvement that you would make to the PRS system.				Text area, no char limit		N		Improvement