Rx-360 Supplier Assessment Questionnaire Feedback Survey Question Title * 1. Please specify your organization type: Supplier Finished product manufacturer Other (please specify) Question Title * 2. Have you used the Questionnaire in practice? Yes No Other (please specify) Question Title * 3. Please check which section(s) of the Questionnaire you used: Company Information (Module 1) Site Information (Module 2) Product Information (Module 3) Service Supplier (Module 4) Question Title * 4. How did you hear about and/or receive a copy of the Questionnaire? Rx-360 website In-company recommendation Rx-360 webinar Rx-360 communiation Industry presentation Other (please specify) Question Title * 5. Please choose the option that best describes your use of the Questionnaire: Used as a test with one or a small group of vendors Completed as a test the company and site forms for my company My company received the questionnaire as a vendor My company has used the questionnaire as their primary vendor assessment questionnaire Other (Please explain) Expand if necessary: Question Title * 6. Did the Questionnaire provide you with adequate information to assess the vendor? Yes No If no, please explain: Question Title * 7. Would additional information or questions in the Questionnaire have made the document more useful? Yes No If yes, please explain: Question Title * 8. Were the questions clear and understandable? Yes No If no, please explain: Question Title * 9. Do you find breaking apart Module 3 into appendixes easier to manage? Yes No Please provide detail if necessary. Question Title * 10. Can you suggest any changes to the formatting to improve the practical use of the Questionnaire? Yes No If yes, please specify, noting section and question number if applicable: Question Title * 11. Can you provide any comments on the substance of the questions, including omissions, additions, and/or suggested edits? Please specify the questionnaire module and section in the spaces provided. If additional space is required, please email comments to the Secretariat. Module: Section/Question (if applicable): Comments: Module: Section/Question (if applicable): Comments: Module: Section/Question (if applicable): Comments: Module: Section/Question (if applicable): Comments: Module: Section/Question (if applicable): Comments: Question Title * 12. Would your company use this Questionnaire as the standard form for assessing vendors? Yes No If No, please explain. Next