Form 65 CIRB Satisfaction survey

Attachment_C04_Cust_Sat_Survey

NCI CIRB Helpdesk Survey

OMB #0925-0753
Expiry Date: 07/31/2021
The purpose of the information collection is to conduct reviews of clinical trial studies. NCI
guidelines mandate the participation of institutions in the CIRB for Network group studies. You are
being requested to complete this instrument so that we can conduct activities involved with the
operations of the NCI CIRB Initiative. Although your participation in Network group research and
completion of the forms is voluntary, if you wish to participate in the CIRB, you must complete all
questions on the form. The information you provide will be combined for all participants and
reported as summaries. It will be kept private to the extent provided by law.

________________________

Please complete this short survey for the NCI CIRB. Your feedback will help us with our quality
improvement efforts. Thank you.

1. Based on your Helpdesk interaction, how would you rate the following:
Very Satisfied

Satisfied

Not Satisfied

Response time to your
inquiry
Completeness of
response
Overall Helpdesk
interaction
Comments

2. Do you have any suggestions to improve future Helpdesk interactions?

July 2018

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3. Please select the team member with whom you communicated. (Select all that apply)
Jen Berghers

John Horigan

Maisie Pascual

Giuliana Brancaccio

Brandon Jonson

Amanda Putnick

Amparo Briggs

Johanna Kidwell

Birdena Samuel

Brian Campbell

Trista Koehler-Blonshine

Jacquie Steenbakker

Laura Covington

Kundan Kumar

Carol Straughn

Jennifer Dugan

Emmett Lauer

Latticia Thomas

Kate Franklin

Dee Miles

Catherine Tuggle

Kituria Gaines

Jenny Morris

Claudine Valmonte

Renee Green

Angela Norman

Michelle Weeks

Gabriel Hansborough

Andrew O'Connor

Don't Know

LaTisa Hernandez

Diana Orr

4. Please indicate your role.
IRB Staff

Principal Investigator

Research Staff

Cooperative Group Staff

Other (please specify)

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