Form 26 Prospective Clinical Trial Survey

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

attachment_7_prospectivesurvey

Attach 7 - Prospective Clinical Trial Survey

OMB: 0925-0624

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Attachment_7_prospectivesurvey




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.












File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorbarbara
File Modified0000-00-00
File Created2021-01-23

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