Patient Research Survey
1.
Are you a ...
Patient (researching information for your own condition)
Family member of a patient
Concerned friend of a patient
Other:
2.
Overall, how satisfied are you with the Patient Research option of requesting a document?
Very Unsatisfied
Very Satisfied
1
2
3
4
5
6
7
Comments:
3.
Please describe any difficulties you had in completing the request for your document.
4.
What was your opinion of the document you received after you read it?
New and useful information I did not have before
Reaffirmed other information I previously have read
Off the mark and not very useful to my needs
Too technical and I could not understand most of it
I did not read the article yet
Comments:
5.
What changes would you make to the Patient Research option of requesting a document?
6.
What is the
most
you would be willing to pay (in US dollars) for documents requested through the Patient Research option?
No amount
$1 - $5
$6 - $10
$11 - $20
$21 - $30
Comments:
