Form 1 Patient Screener (screenshot)

Formative Research, Pretesting, and Customer Satisfaction of NCI's Communication and Education Resources (NCI)

Attachment 1 - FINAL Patient Screener (Screenshots) (7)

Market Research to Inform Next Generation Physician's Data Query (PDQ) (NCI)

OMB: 0925-0046

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0925-0046 can be found here:

Document [docx]

Download: docx | pdf

Patients

Intro

S1.

S2.

S3.

S4.

S5.

S6.

S7.

Invite

Terminates

Terminate #1: This screen is shown when a respondent terminates on a “hard spec”. Someone that does not qualify at all.

Terminate #2 (2 screens): These screens are shown at the end when a respondent terminates on a “soft spec”. The respondents continues through the survey and is shown this screen after their contact information has been collected. If criteria is loosened, we can contact and include these respondents as possible participants.

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Modified	0000-00-00
File Created	0000-00-00