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CCR Patient Satisfaction Survey - FINAL Mobile Interaction OFF

Coastal Clinical Research, Inc.

We would like to know about your experience at Coastal Clinical Research, Inc. so that we can make your next experience even better! All responses will be kept confidential and anonymous. We appreciate your time and feedback!

1. Based on our customer service, how likely are you to recommend CCR to a friend or colleague?

0	1	2	3	4	5	6	7	8	9	10
0	1	2	3	4	5	6	7	8	9	10

2. Please rate the patient specialists (telephone interviewers) at CCR in the following areas:
Click on the number of stars to rate each item - 5 stars is best!

Space Cell	Rating
Prompt return of calls	Reset star selection 1 out of 5 stars for Prompt return of calls : Rating 2 out of 5 stars for Prompt return of calls : Rating 3 out of 5 stars for Prompt return of calls : Rating 4 out of 5 stars for Prompt return of calls : Rating 5 out of 5 stars for Prompt return of calls : Rating
Courtesy	Reset star selection 1 out of 5 stars for Courtesy: Rating 2 out of 5 stars for Courtesy: Rating 3 out of 5 stars for Courtesy: Rating 4 out of 5 stars for Courtesy: Rating 5 out of 5 stars for Courtesy: Rating
Expertise	Reset star selection 1 out of 5 stars for Expertise: Rating 2 out of 5 stars for Expertise: Rating 3 out of 5 stars for Expertise: Rating 4 out of 5 stars for Expertise: Rating 5 out of 5 stars for Expertise: Rating
Explanation of research study	Reset star selection 1 out of 5 stars for Explanation of research study: Rating 2 out of 5 stars for Explanation of research study: Rating 3 out of 5 stars for Explanation of research study: Rating 4 out of 5 stars for Explanation of research study: Rating 5 out of 5 stars for Explanation of research study: Rating
Level of privacy	Reset star selection 1 out of 5 stars for Level of privacy: Rating 2 out of 5 stars for Level of privacy: Rating 3 out of 5 stars for Level of privacy: Rating 4 out of 5 stars for Level of privacy: Rating 5 out of 5 stars for Level of privacy: Rating

3. Please rate the clinical staff (this includes coordinators and coordinator assistants) at CCR in the following areas:
Click on the number of stars to rate each item - 5 stars is best!

Space Cell	Rating
Promptness	Reset star selection 1 out of 5 stars for Promptness: Rating 2 out of 5 stars for Promptness: Rating 3 out of 5 stars for Promptness: Rating 4 out of 5 stars for Promptness: Rating 5 out of 5 stars for Promptness: Rating
Courtesy	Reset star selection 1 out of 5 stars for Courtesy: Rating 2 out of 5 stars for Courtesy: Rating 3 out of 5 stars for Courtesy: Rating 4 out of 5 stars for Courtesy: Rating 5 out of 5 stars for Courtesy: Rating
Expertise	Reset star selection 1 out of 5 stars for Expertise: Rating 2 out of 5 stars for Expertise: Rating 3 out of 5 stars for Expertise: Rating 4 out of 5 stars for Expertise: Rating 5 out of 5 stars for Expertise: Rating
Explanation of study	Reset star selection 1 out of 5 stars for Explanation of study : Rating 2 out of 5 stars for Explanation of study : Rating 3 out of 5 stars for Explanation of study : Rating 4 out of 5 stars for Explanation of study : Rating 5 out of 5 stars for Explanation of study : Rating
Level of privacy	Reset star selection 1 out of 5 stars for Level of privacy: Rating 2 out of 5 stars for Level of privacy: Rating 3 out of 5 stars for Level of privacy: Rating 4 out of 5 stars for Level of privacy: Rating 5 out of 5 stars for Level of privacy: Rating
Instructions regarding study drug/follow-up care	Reset star selection 1 out of 5 stars for Instructions regarding study drug/follow-up care: Rating 2 out of 5 stars for Instructions regarding study drug/follow-up care: Rating 3 out of 5 stars for Instructions regarding study drug/follow-up care: Rating 4 out of 5 stars for Instructions regarding study drug/follow-up care: Rating 5 out of 5 stars for Instructions regarding study drug/follow-up care: Rating

4. Please rate your overall visit at CCR in the following areas:
Click on the number of stars to rate each item - 5 stars is best!

Space Cell	Rating
Cleanliness of clinic area	Reset star selection 1 out of 5 stars for Cleanliness of clinic area: Rating 2 out of 5 stars for Cleanliness of clinic area: Rating 3 out of 5 stars for Cleanliness of clinic area: Rating 4 out of 5 stars for Cleanliness of clinic area: Rating 5 out of 5 stars for Cleanliness of clinic area: Rating
Reception greeting	Reset star selection 1 out of 5 stars for Reception greeting: Rating 2 out of 5 stars for Reception greeting: Rating 3 out of 5 stars for Reception greeting: Rating 4 out of 5 stars for Reception greeting: Rating 5 out of 5 stars for Reception greeting: Rating
Ease of making appointments	Reset star selection 1 out of 5 stars for Ease of making appointments: Rating 2 out of 5 stars for Ease of making appointments: Rating 3 out of 5 stars for Ease of making appointments: Rating 4 out of 5 stars for Ease of making appointments: Rating 5 out of 5 stars for Ease of making appointments: Rating
Length of waiting time in reception area	Reset star selection 1 out of 5 stars for Length of waiting time in reception area: Rating 2 out of 5 stars for Length of waiting time in reception area: Rating 3 out of 5 stars for Length of waiting time in reception area: Rating 4 out of 5 stars for Length of waiting time in reception area: Rating 5 out of 5 stars for Length of waiting time in reception area: Rating
Length of waiting time in clinic area	Reset star selection 1 out of 5 stars for Length of waiting time in clinic area: Rating 2 out of 5 stars for Length of waiting time in clinic area: Rating 3 out of 5 stars for Length of waiting time in clinic area: Rating 4 out of 5 stars for Length of waiting time in clinic area: Rating 5 out of 5 stars for Length of waiting time in clinic area: Rating

5. Is there anything that we can do to improve your satisfaction with CCR? Please describe in detail!