Survey of Users' Initial Experience with an Injection Device

1. Welcome

 
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We are performing a brief survey on the topic of problems patients sometimes experience during their initial at home use of an injection device.

The purpose of this survey study is to learn more about the issues experienced during the initial use of new injection devices in order to identify better ways to design the devices, instructions, and approaches to patient training.

We hope that you can take 5-10 minutes of your valuable time to help us develop an accurate and complete description of your experience.

If you have used more than one injection device, please select the most problematic device to report your experiences with, and feel free to take the survey multiple times (once for each device type).

Important Note: Please do not mention any specific brand or product names while completing this survey

Informed Consent: The qualifications for filling out this questionnaire are that (1) you currently use or have previously used an injection device to administer medication and (2) you are 18 years of age or older; if you do not meet both of these qualifications your answers will not be retained. As a thank you for participating, we will donate 1$ to either Red Cross or the Humane Society (your choice). There is minimal risk involved in taking this questionnaire. Your participation is completely voluntary, and you have the right to skip any question you do not wish to answer. You have the right to stop at any time. For further information about the study you may contact the survey administrator at iaa_research@yahoo.com. Complaints about this survey can be directed at the ISE department chair Louis Freund at lfreund@email.sjsu.edu. For questions about participants’ rights or if you feel you have been harmed by participating in this study, please contact Dr. Pamela Stacks, Associate Vice President of the Office of Graduate Studies and Research, San Jose State University, at 408-924-2427. Your completion of this survey indicates your willingness to participate. Please keep this page for your records. Please do not write any information that could identify you in this survey.