Question Text
Investigator Name:

1  How did you find out about a research study that you participated in at Creighton University?
Newspaper
Telemarketing
Mailing
Website
Other 

2.  The study personnel were concerned about me and my overall well-being, not just the study.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

3.  I felt adequately informed abou the study when I signed the Consent to Participate.
Strongly Agree
Agree
Disagree
Strongly Disagree
Not Applicable

4.  Questions I had were answered satisfactorily throughout the study.
Strongly Agree
Agree
Strongly Disagree
Disagree
Not Applicable

5.  The study personnel were knowledgeable and professional.
Strongly Agree
Agree
Strongly Disagree
Disagree
Not Applicable

6.  I learned more about my health or well-being than I would have if I were not in the study.
Strongly Agree
Agree
Strongly Disagree
Disagree
Not Applicable

7.  I felt that my privacy was respected throughout the study.
Strongly Agree
Agree
Strongly Disagree
Disagree
Not Applicable

8.  The benefits of being in the study outweigh the time and energy it required.
Strongly Agree
Agree
Strongly Disagree
Disagree
Not Applicable

9.  Overall, being in a research study has been a positive experience.
Strongly Agree
Agree
Strongly Disagree
Disagree
Not Applicable

10.  I knew who to call if I had questions or concerns about the study.
Yes
No

11.  I would consider participating in another study at Creighton University in the future.
Yes
No

12.  I have a better opinion of Creighton University because of my participation in this study.
Yes
No

13.  Comments:

The Creighton University Institutional Review Board (IRB) was established to protect the rights and welfare of human research subjects recruited to participate in research activities conducted under the auspices of Creighton University.

This survey will be reviewed by the IRB.  If you would like to speak to a person in the IRB concerning your experience, please call 402-280-2126 or e-mail irb@creighton.edu

If you would like someone to call you from the IRB office, please give us your name, phone number and best time of day to contact you.

Name:
Phone:
Time of Day:


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