LVM Survey

Hi, This is the DM Clinical Patient Engagement Team. We value your interest in participating in a clinical trial with us, however following your sign-up, we have had difficulty reaching you. We would like to know if there is anything we could do to make it easier to share information regarding our current studies and scheduling an appointment with us. Please take a moment to share your preferences through this brief survey with us.

First Name

Last Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

On a scale of 1 to 5, with 1 being not interested and 5 being highly interested, how interested are you in participating in clinical trials in general?

How did you hear about DM Clinical Research?

Other

Please specify

After expressing interest in our trials, did you receive any communication from us (Calls, Texts, or Emails)?

Would you like to speak to a Patient Enrollment Specialist to learn more about our currently enrolling studies that you may qualify for?

What is your preferred method of contact? (Please select all that apply)

What would be a good time to contact you? (Please select all that apply)

Are there any measures we can take to encourage your participation in a clinical trial with us?

What could we do to encourage your participation in a clinical trial with us?

iid

pid

site

DM Clinical Listens!