Form 72 PIO External Survey

Attachment_C08_PIOexternalsurvey

OMB #0925-xxxx
Expiration Date: xx/xx/xxxx

PQRSurvey System
National Cancer Institute (NCI), Cancer Therapy Evaluation Program (CTEP), Protocol and Information Office (PIO) External
Customer Satisfaction Survey
All questions are multiple choice on a scale of 1-10, 10 being "very satisfied", 8 being "somewhat satisfied", 5 being
"neither satisfied or dissatisfied", 3 being "somewhat dissatisfied", 1 being "very dissatisfied". Please include any
comments relevant to that question in the associated open comment field.
OMB #: 0925-xxxx
Expiration Date: xx/xx/xxxx
Public reporting burden for this collection of information is estimated to average 5 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 current 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 (0925-0642). Do not return the completed form to this
address.

NIH NCI DCTD OIB CTEP Protocol and Information Office External Customer Satisfaction Survey Year 6
Screen 1 of 1
1. Please state your NCI affiliation.
Other (please comment)

Comments: (1000 characters)
Options are:
ABTC
Alliance
AMC
COG

2. Questions regarding your overall experience when interacting with the PIO.
a. Rate your satisfaction with the time it took for PIO to acknowledge your communication if via email.
N/A
Comments: (1000 characters)

1

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10

Attachment_C08_PIOexternalsurvey

OMB #0925-xxxx
Expiration Date: xx/xx/xxxx

b. Rate your satisfaction with the professionalism of PIO staff.
N/A

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10

Comments: (1000 characters)

c. Rate your satisfaction with PIO's ability to answer questions concerning CTEP processes.
N/A

1

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10

N/A

1

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10

Comments: (1000 characters)

d. Rate your overall experience with the PIO.

Comments: (1000 characters)

2