Form 1 ClinRegs Data Collection Screen Shots

February 5, 2016
ClinRegs Data Collection Screenshots
Screenshot 1 – User affiliation page

This is the landing page
that the user first
arrives at when coming
to the ClinRegs website

If user clicks
here, they will
go directly to
homepage
(screenshot 3)

If user clicks
here, a drop
down menu of
options appears
(screenshot 2)

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Screenshot 2 – Affiliation selection

Dropdown menu of affiliation options

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Screenshot 3 – ClinRegs homepage

User clicks here
to access the
feedback survey

Screenshot 4 – Feedback survey request pop-up

Pop-up box that appears
after user has been on site
for 3 minutes

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Screenshot 5 – Feedback survey

Circles are radio buttons
Squares are check boxes
Larger rectangles are open
field text boxes

User clicks here to submit
survey, then screenshot 5
appears

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Screenshot 6 – Survey completion thank you message

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