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Clinical trials feedback

Your feedback can help us to improve the development and management of our clinical trials to provide better patient care and support. Completion of this form should take no more than 5 minutes of your time.

We do not collect personal information on this feedback form so the data you provide will remain completely anonymous

How would you evaluate the following study documents and procedures?

1. Patient information sheet & Main Consent Form. Overall, would you say that:	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The information about the trial was clear, concise and understandable
You had time to discuss your doubts about the study with the study team.
2. The Consent Form for optional biopsy Overall, would you say that:	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The information was presented in a clear and comprehensive manner
3. The patient diary card if applicable (for recording date of treatment administration)	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Was helpful and suitable for recording the required information

4. Study procedures How would you evaluate	Excellent	Very good	Good	Fair	Poor
The length of the study visits
The frequency of the study visits
The numbers of patient questionnaires
The number of sample blood collected
The biopsy procedure(s)
The Ultrasound procedures

We would love to hear any additional comments on your experience in the clinical trial and any suggestions on things that we could improve on?

Please don't provide any information that would identify you as this is an anonymous questionnaire.

Name of Hospital?

Please re-type this number