NIHR Patient Research Experience Survey 2019/20

Thank you for agreeing to complete this short survey about your experience of taking part in research. We would like to find out what we've done well, and what we can do better.

This survey is voluntary, and you won’t need to give your name and contact details. Your responses will be kept confidential.
Section One: About your Study

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* 1. Name of hospital/clinic/health centre visit is taking place in.

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* 2. What is the name of the study you are taking part in? (If you are unsure, please let us know as much as you can remember about the study.) 

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* 3. Study number (IRAS or CPMS ID, if known.)

Section Two: About your Experience

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* 4. Are you completing this survey:

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* 5. If you are completing this questionnaire for someone else, are you:

If you are filling this in for someone else please answer the questions from the patient’s point of view.

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* 6. How long have you been taking part in this study?

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* 7. Is this the first study you've taken part in?

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* 8. How did you find out about this study?

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* 9. Why did you decide to take part in research? (Select all that apply)

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* 10. It is important to me to know the overall results of the research study

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* 11. I had a good experience of taking part in the research study.

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* 12. Use this space to tell us more about your answers to the above questions.

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* 13. I would like to find out about further research opportunities from my research team.

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* 14. I learnt more about my health condition by taking part in this study.

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* 15. I feel my health benefited from taking part.

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* 16. What did you like about taking part in this study? 

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* 17. Was there anything you didn't like about taking part in this study?

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* 18. Is there anything else you'd like to share about your experience?

Section Three: About You 

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* 19. Are you:

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* 20. How old are you?

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* 21. What is your ethnicity?

We need your help with getting more people involved in research in North West London.

The Clinical Research Network North West London is looking for people who have taken part in research, carers and parents to help us raise awareness of research by sharing their experiences (for example on the Research Changed my Life section of the NIHR website) or by helping us in other ways such as suggestion and reviewing ideas for future research, or at events. 

If you would like to find out more, please complete your details below and our Patient and Public Involvement Manager, Danielle Neal, will be in touch. Your details will not be linked to the above survey or used for any other purpose.

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* 22. Name

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* 23. Email Address:

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* 24. Phone Number: 

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