ICON Post-Study Participation Survey

Demographic Information

Thank you for visiting ICON. We are constantly striving to improve all aspects of your participation in our studies. We would appreciate if you take a few minutes to let us know how we are doing.

Question Title

* What is today's date?

Date

Question Title

* What is your first and last name? (Optional.)

Name

Question Title

* Are you male or female?

Male

Female

Question Title

* How old are you?

Question Title

* What is your home ZIP code? (Please enter your 5-digit ZIP code. For example, 84124)

Question Title

* What study did you participate in? (Please enter the study code and compensation amount, if possible. Note: The study code typically consists of a six-digit or four-digit number.)

Question Title

* Who was your Clinical Study Manager (CSM)?

Question Title

* How many overnights did you spend at ICON?

None; Outpatient visits only

1-5 nights

6-10 nights

11-15 nights

16-20 nights

21 or more nights

Question Title

* Have you previously participated in a study at ICON's clinic in Salt Lake City, UT?

Yes

Question Title

* Have you previously participated in a study at any other clinical research organization?

Yes

20% of survey complete.