Welcome!

CAPriCORN (Chicago Area Patient-Centered Outcomes Research Network) is one of nine clinical research networks (CRNs) in the United States, funded by the Patient-Centered Outcomes Research Institute (PCORI). PCORI was established to fund research that can help patients and those who care for them make better-informed decisions about the healthcare choices they face every day, guided by those who will use that information.

CAPriCORN is committed to including the patient voice in all aspects of its work by ensuring that results from its clinical research meet the needs of patients and healthcare decision makers.

CAPriCORN's Patient Community Advisory Committee (PCAC) is working with Health and Medicine Research Policy Group on a project funded by PCORI to ensure that patients and the public have relevant information they can use to help make informed healthcare decisions.

The following survey was created to identify the health issues that are of the most concern to you, and welcomes your thoughts about research.  By completing this survey, you contribute to, and can help guide, future research with the goal of making our metropolitan community healthier.

The survey should take you approximately 15-20 minutes, and we ask that you only complete this survey one time. Your answers are confidential and will be collected by McAlpine Consulting for Growth, LLC consultants, and shared only in aggregate form. Your participation and any information collected that can identify you is voluntary.

If you choose, you can provide your contact information at the end of the survey, and will be entered into a weekly raffle for a $100 gift card.

If you have any questions about the technical aspects of the survey, please direct them to Carly Blumfield (events@lmcalpine.com).

Thank you for your input!
CAPriCORN PCAC
Health and Medicine Policy Research Group

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* 1. What is your home zip code?

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* 2. What neighborhood or community do you live in?

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* 3. How many years have you lived in your community?

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* 5. Please rank the importance of the following social conditions in your community, with 1 being the most important and 7 being the least important.

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* 6. Please rank the importance of the following health issues in your community, with 1 being the most important issue, and 13 being the least important.

The following questions relate to the top two health issues according to your ranking above.

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* 7. What would you like to know about all these issues? (Select all the apply)

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* 8. What are some specific things we should try to learn about the health issues that are important to you and your community?

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* 9. Who in the community do these issues impact?

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* 10. Who should be involved in studying these issues?

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* 11. Have you ever participated in a project to address these health issues?

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* 12. How interested would you be in participating in a project that involves:

  Very Interested Somewhat interested Not Interested Neutral
Sharing your opinion about the health issues you’ve identified
Testing a new solution that is not a medication
Sharing data with researchers who are trying to address the health issue
Trying a new medication

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* 13. Optional: Provide your name and e-mail to be entered into a weekly raffle--you could win a $100 gift card!

Thank you! Your responses will help the PCAC present critical and timely patient-generated information to clinicians and health system administrators.  Learn more by visiting www.capricorncdrn.org.
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