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2016
August
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
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What do you think would be the key benefits of this technology?
Please rate each of the following benefits on a scale of 1 to 5.
Not at all Compelling
Neutral
Very Compelling
*
Reduce or eliminate wait time for pathology to perform fresh frozen or other in vivo assessment of tissue
*
Improve accuracy of pathology by providing pathologist better guidance on where to analyze specimen
*
Other
Do you have any other concerns related to laparoscopes?
How satisfied are you with the following:
Very Dissatisfied
Not Satisfied
Neutral
Satisfied
Very Satisfied
Website
Customer Service
Overall
What types of credit cards do you have (Select all that apply)?
${Q10}Visa
Mastercard
American Express
Discover
Diners Club
Which brand of laparoscope do you prefer? Please rank order.
Drag your choices here to rank them
Skiing
Snowboarding
Biking
Presentation Text
What do you think would be the key benefits of this technology? Please rate each of the following benefits on a scale of 1 to 5, from
1=Not at all Compelling to 5=Very Compelling.
Not at all Compelling
Neutral
Very Compelling
Reduce recurrence/limit additional surgery by increasing amount of cancer resected at initial procedure
-
Improve intraoperative visualization beyond the naked eye
-
Other (specify)
-
How satisfied are you with the following:
Very Dissatisfied
Not Satisfied
Neutral
Satisfied
Very Satisfied
Website
Customer Service
Overall
How often do you conduct surveys?
Weekly
Monthly
Quarterly
Annually
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