Form 1 CIRB Helpdesk Survey

CIRB Helpdesk Survey_OMB PRV

OMB#: 0925-xxxx
Expiry Date: xx/xx/xxxx
CIRB Helpdesk Survey
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Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974,
ATTN: PRA (0925-xxxx*). Do not return the completed form to this address.
________________________

Please take the time to complete this short survey. Your feedback would be greatly appreciated and would help us with
our quality improvement efforts.

1. We would like to ask you about your recent experience with the NCI CIRB HelpDesk.
Based on this communication, how would you rate the following:
Very Satisfied

Satisfied

Not Satisfied

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Quality of the response

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Satisfaction with the

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Response time to your
inquiry

response received
Overall customer service
Comments

2. How do you feel the customer service could have been improved?
3. Please select the team member with whom you communicated with. (Select all that
apply)
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Nadia Chevalier

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Angela Norman

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Bianca Collins

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Diana Orr

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Katya Bratslavsky

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Claudine Valmonte

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Marion Peoples

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Laura Covington

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Emmett Lauer

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Lauren Kirby

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Alex Borbely

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Amparo Briggs

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John Horigan

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Jennifer Dugan

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Don't Know

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CIRB Helpdesk Survey_OMB PRV
4. Please indicate your role.
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IRB Director/Manager

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Cooperative Group

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IRB Contact

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Other

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Investigator/Research Staff/Regulatory Affairs

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