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 |
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) |
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Radio button, one-up vertical |
Single |
Y |
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Frequency of Accessing PRS |
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MMW3675A02 |
Intermediate (monthly or sporadic use) |
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MMW3675A03 |
Advanced (regular, weekly use) |
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MMW3677 |
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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 |
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Radio button, one-up vertical |
Single |
Y |
Skip Logic Group |
Role |
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MMW3677A02 |
I am a study statistician |
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MMW3677A03 |
I am the clinical research coordinator |
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MMW3677A04 |
I am on the study team (other than investigator, statistician, clinical research coordinator) |
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MMW3677A05 |
I am in a central regulatory affairs or ethics office |
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MMW3677A06 |
Other, please specify: |
A |
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MMW3678 |
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 |
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 |
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MMW3679A02 |
User’s Guide |
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MMW3679A03 |
Administrator’s Quick Reference (Administrators Only) |
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MMW3679A04 |
Data Element Definitions |
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MMW3679A05 |
Protocol Review Criteria or Results Review Criteria |
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MMW3679A06 |
Simple Results Forms/Templates |
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MMW3679A07 |
"Problems: [Your Account] Records" List |
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MMW3679A16 |
Problem Resolution Guide |
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MMW3679A08 |
Publication Report (Administrators Only) |
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MMW3679A09 |
ClinicalTrials.gov Web site information for study record managers (formerly PRS Information Web site) |
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MMW3679A10 |
Online presentations on entering and maintaining information in PRS |
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MMW3679A11 |
Contact with ClinicalTrials.gov staff via email or phone |
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MMW3679A12 |
I haven’t used any resources |
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MMW3679A13 |
I used resources but I didn’t find them helpful |
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MMW3679A14 |
I’m not sure |
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MMW3679A15 |
Other, please specify: |
A |
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MMW3680 |
A |
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 |
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 |
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MMW3681A02 |
Yes, but the comments were not helpful |
A |
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MMW3681A03 |
No |
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MMW3681A04 |
I’m not sure |
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MMW3682 |
A |
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 |
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 |
|
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|
MMW3683A02 |
No |
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MMW3684 |
A |
Please provide comments on your level of satisfaction with the assistance provided. |
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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 |
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MMW3687A02 |
No |
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MMW3687A03 |
I don't know |
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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 |
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MMW3685A02 |
Yes, I receive email and I understood what action to take |
A |
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MMW3685A03 |
Yes, I receive email but I did not understand what action to take |
A |
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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 |
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|
MMW3686A02 |
Notification that record was processed for publishing |
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MMW3686A03 |
Reminder to release records |
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MMW3686A04 |
Notice that record(s) has “Problems” |
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MMW3686A05 |
None of the emails are helpful |
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MMW3686A06 |
I am not sure |
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MMW3688 |
|
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 |
MMW3689 |
|
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 |
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) |
|
|
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|
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|
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 |
|
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|
MMW3676A02 |
Once or twice a year |
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MMW3676A03 |
Daily |
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MMW3676A04 |
Weekly |
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MMW3676A05 |
Monthly |
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|
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 |
|
|
|
|
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|
MMW3679A12 |
I haven’t used any resources |
|
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MMW3679A13 |
I used resources but I didn’t find them helpful |
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MMW3679A14 |
I’m not sure |
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MMW3679A15 |
Other, please specify: |
A |
|
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|
|
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 |
|
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MMW3681A03 |
No |
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MMW3681A04 |
I’m not sure |
|
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|
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 |
|
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|
|
|
|
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 |
|
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|
|
|
|
|
|
|
MMW3687A03 |
I don't know |
|
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|
|
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 |
|
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|
|
|
|
|
|
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 |
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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 |
|
N |
|
Improvement |