ClinicEval Connect- Sponsor Sponsor Question Title * 1. I represent the following type of Sponsor Pharmaceutical Biotechnology Medical Device Medical Diagnostic Other (please specify) Question Title * 2. Please provide the following information Company Name Company Website Link Your Name Your Title Address 1 Address 2 City/Town State/Province Zip/Postal Code Country Email Address Phone Number Question Title * 3. Please select the therapeutic or specialty areas of focus for your company's current clinical trial needs (select all that apply) Allergy Anesthesiology Cardiology Cardiovascular Surgery Colon and Rectal Surgery Critical Care Medicine Dental Dermatology Emergency Medicine Endocrinology Epidemiology Family Practice Gastroenterology Geriatric Medicine Gynecology Gynecologic Oncology Hand Surgery Hematology Hepatology Hospice and Palliative Medicine Immunology Infectious Disease Internal Medicine Medical Genetics Microbiology Neonatology Nephrology Neurosurgery Neurology Nuclear Medicine Obstetrics Occupational Medicine Oncology Ophthalmology Oral Surgery (maxillofacial surgery) Orphan and Rare Diseases Orthopedic Surgery Otolaryngology Pain Management Parasitology Pathology Pediatrics Perinatology Plastic Surgery Podiatry Psychiatry Pulmonology Radiation Oncology Radiology Reproductive Endocrinology Rheumatology Sleep Disorders Spinal Cord Injury Sports Medicine Surgery (General) Thoracic Surgery Transplant Surgery Urology Vascular Surgery Other therapeutic or specialty areas of focus (please specify) Question Title * 4. Please select the countries and/or geographic areas in which your company is considering conducting the proposed clinical trial(s) (select all that apply) To be determined Argentina Australia Austria Belgium Brazil Canada China Czech Republic Denmark Egypt Finland France Germany Hong Kong India Ireland Israel Italy Japan Korea (Republic of South Korea) Mexico Netherlands New Zealand Norway Peru Philippines Poland Portugal Puerto Rico Russia Saudi Arabia Serbia Singapore South Africa Spain Sweden Switzerland Taiwan Turkey Ukraine United Kingdom United States Venezuela Other or Comment (please specify) Question Title * 5. Please select the phase(s) of clinical development and research which best align with your company's current needs (select all that apply) Preclinical Phase I/Healthy Volunteer Phase II Phase III Phase IV/Investigator Initiated Observational, Retrospective and Chart Review Studies Comment (if appropriate) Question Title * 6. Approximately how many research sites are you currently considering targeting to achieve your trial enrollment timelines? Question Title * 7. Approximately how many subjects are you currently considering targeting for enrollment in the proposed clinical trial? Question Title * 8. Please provide any additional comments that might be useful as Cliniceval Solutions researches information relative to your request. Submit Survey