Introduction

Thank you for taking the time to complete this 5 minute survey. The Society of General Internal Medicine (SGIM) wants to hear about your experience with Patient Centered Outcomes Research (PCOR) and to find what helps (or makes it more difficult) to become involved. The Patient Centered Research Institute defines PCOR as research that helps people and their caregivers communicate and make informed health care decisions, allowing their voices to be heard in assessing the value of health care options.  At the end of the survey, please let us know if you want to be included in a drawing for a $250 prize. Thank you.

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* 1. What is your gender?

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* 2. What is your age?

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* 3. What is your race?

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* 4. What is the highest level of education you completed?

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* 5. How many hours a week are you currently employed?

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* 6. What title best describes your job?

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* 7. Have you ever participated in clinical research?

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* 8. If yes, have you participated in Patient Centered Outcomes Research or Clinical Effectiveness Research?

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* 9. Please tell us about how you feel about the doctor you see on a regular basis.  You many select more than one answer. 

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
If my doctor tells me something, it must be true.
I trust my doctor to put my medical needs above all other considerations when treating my medical problem.
My doctor cares more about research than what is best for me.

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* 10. The following questions ask how you feel about participating in research. You may select more than one answer.

  Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree
I am likely to participate in a research study that my doctor recommends to me.
I am likely to participate in a research study that my doctor's clinic recommends to me.
I am likely to participate in a research study that my health insurer recommends to me.
I am likely to participate in a research study that my local hospital recommends to me.

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* 11. How can researchers make sure you have a voice in research projects? You may select more than one answer.

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* 12. What might make it easier for you to be part of a research study?

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* 13. What are barriers for you in participating in research?

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* 14. THANK YOU for your participation. Please enter your phone number or email address if you wish to be included in a drawing to receive $250.

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* 15. May we contact you to follow up on this survey?

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