Form 36 Attach 4 - CTSU OPEN Survey

Cancer Trials Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI)

attach_4_OPEN survey

Attach 4 - CTSU OPEN Survey

OMB: 0925-0624

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Attachment 4 OMB #: 0925-xxxx Expiry Date: xx/xx/xxxx


Public reporting burden for this collection of information is estimated to vary from 10 to 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx). Do not return the completed form to this address


Oncology Patient Enrollment Network Survey


1


The navigation and the use of the screen functions were clear. Shape2

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree





2


Additional suggestions or comments regarding navigation and screen functions:

Shape3




3


The "Create New" screen was clear and easy to use. Shape4

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

I do not have access to this screen





4


Additional suggestions or comments regarding the "Create New" screen:

Shape5




5


The "Demography" screen was clear and easy to use. Shape6

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Not available for my protocol

I do not have access to this screen





6


Additional suggestions or comments regarding the "Demography" screen:

Shape7




7


The "Checklist" screen was clear and easy to use.Shape8

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

I do not have access to this screen







8


Additional suggestions or comments regarding the checklist screen:

Shape9




9


The OPEN system overall was easy to use. Shape10

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree





10


Was the Training Video helpful in providing the information you needed to perform an enrollment? Shape11

Yes

No

N/A (I did not view it)





11


If no, what information should be added or clarified?

Shape12




12


Was the User Guide helpful in providing the information you needed to perform an enrollment? Shape13

Yes

No

N/A (I did not use it)







  • 13



If no, what information should be added or clarified?

Shape14




  • 14


Other comments or suggestions:

Shape15







1


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Authorspitler_t
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File Created2021-01-30

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