SMO-2019-3023/ 2018L03211-I/II项目-CUSTOMER FEEDBACK SURVEY

Thank you for giving us the opportunity to work with you.To help us evaluate our quality in procedures and staff performance, we would very much appreciate your opinion and suggestions to improve customer satisfaction and to ensure your continuous support.Thank you for taking a few minutes to complete this survey. 

注:如您与我们合作项目,对接多个CRC,麻烦请另填写一份,谢谢!

项目编号(SMO与申办方项目编号): SMO-2019-3023/ 2018L03211-I/II项目

合作期间:2022.04.01至今

申 办 方:华兰 

1、您的姓名:
    ____________
2、与您合作该项目CRC的姓名:
    ____________
3、Survey conducted date:
2022.6.7
2022.6.8
2022.6.9
2022.6.10
2022.6.11
2022.6.12
2022.6.13
2022.614
2022.6.15
2022.6.16
2022.6.17
2022.6.18
4、Data Entry/ Query Resolving Timeliness
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
5、Data Entry/ Query Resolving Completeness
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
6、Data Entry/ Query Resolving Accuracy
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
7、IVRS/IWRS Timeliness
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
8、IVRS/IWRS Completeness
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
9、IVRS/IWRS Accuracy
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
10、Drug Management Drug Re-order
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
11、Drug Accountability
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
12、Drug Dispensing/ Return
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
13、Related Forms Completion
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
14、Study File
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
15、Study Supplies
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
16、Laboratories Sample collection handle/storage/transmittal per protocol
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
17、Laboratories related forms maintenance
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
18、Laboratory kits
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
19、Source Management
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
20、Financial/ Budgetary Issues
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
21、Study Understanding
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
22、Soft Skill Ability to understand customer needs
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
23、Soft Skill Easily contacted/reached
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
24、 Soft Skill Response to client enquiries in a timely manner
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
25、 Soft Skill Build good relationship with study team
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
26、 Soft Skill Willingness to work together
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
27、Proactive ability Ability to solve problems to cope with unexpected situations in a timely manner
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
28、Proactive ability Identify risks and come up with solutions
Unsatisfactory
Acceptable
Satisfactory
Very Satisfactory
N/A
29、Overall evaluation:If 100 is full score, please give CRC an estimated score for the past 3 monthsfor this study:
    ____________
30、Please add any comments and suggestions
    ____________

30题 | 被引用0次

模板修改
使用此模板创建