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Prospective Clinical Trial Survey

ICR 201409-0925-002 · OMB 0925-0624 · Object 50363801.

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application/vnd.openxmlformats-officedocument.wordprocessingml.document
Prospective Clinical Trial Survey
barbara
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2013-10-31
2026-11-14
complete

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Note: Q1a appears only if “My practice is located within a community hospital” is selected for Q1.

If user selects “physician” to Q3, continue below.  If user selects “Staff member/other”, continue HERE.








Note: This 8a appears if the user selects either of the two leftmost radio buttons for Q8.




Note: This Q8a appears if the user selects any of the three rightmost radio buttons for Q9.


















END OF SURVEY



Note: Q1a appears only if “My practice is located within a community hospital” is selected for Q1.







Note: This QS2 appears if the user selects either of the two leftmost radio buttons for QS2.




Note: This QS2 appears if the user selects any of the three rightmost radio buttons for QS2.