Consent Statement

Please read the following statement carefully. You will need to first provide your consent before participating in this survey.

This survey is being conducted by Ercules, an independent company based in Italy, on behalf of Bayer and AskBio.

We would like to remind you that your participation is strictly voluntary and that your responses are used for survey purposes only. The answers that you provide will be presented in aggregate form and none of them will be linked back to you in any way. All data will be collected and processed in adherence with the Market Research Society’s Code of Conduct and the General Data Protection Regulation (GDPR).

I confirm that I have read, understood and accept the points above and am happy to proceed with the market research survey on this basis.

1 of 14

Did you complete the first

twelve (12) months of the study?

Yes

2 of 14

Please select your age:

3 of 14

Please select your gender:

4 of 14

Please select the location of your research center:

5 of 14

How did you find out about this study?

7 of 14

Looking back over your participation in the study, did any of the following concerns apply? Select all that apply.

I had no concerns

Participating in the study took too much of my time

The hospital or clinic was too far from home

Too many blood withdrawals

Too many study visits

Too many questions to answer

Safety or potential side effects

Insufficient reimbursement for time required

8 of 14

Who on the clinical staff was most supportive

during your overall experience? Select all that apply.

Principal investigator / head study doctor

Study coordinator / study nurse

Other study staff (e.g., echocardiogram technician, cardiopulmonary technician)

11 of 14

Which of the following materials did you see

and/or receive during the clinical study?

Select any or all that apply.

12 of 14

What were your motivations for participating in this study?

Select all that apply.

To possibly improve my health

To help others and/or contribute to medical advancements

Being able to receive focused care from a study team

13 of 14

What do you consider to be the most important

for future clinical study participation?

Select all that apply.

Reimbursement

Flexible scheduling / time commitment

Ease of access to study clinic or hospital

Medication, treatment or testing at no cost

14 of 14

Would you recommend joining

a clinical study to others?

Yes

Consent Statement

Please read the following statement carefully. You will need to first provide your consent before participating in this survey.

Did you complete the first

twelve (12) months of the study?

Please select your age:

Please select your gender:

Please select the location of your research center:

How did you find out about this study?

Think about your overall experience and let us know

how much you agree or disagree with the following statements:

The clinical staff answered my questions fully

The study staff spent enough time with me

during my visits and they were also available

for me outside the planned visits

I felt comfortable calling the study team

with questions between visits

Study visits were easy to schedule and convenient for me

I clearly understood the commitment needed

to participate in this study

Looking back over your participation in the study, did any of the following concerns apply? Select all that apply.

Who on the clinical staff was most supportive

during your overall experience? Select all that apply.

Think about your overall experience and let us know how much

you agree or disagree with the following statements:

I was kept well-informed of study expectations

throughout my participation

I was always treated with courtesy and respect

I felt like a valued partner in the clinical research process

My experience with each of the following at the

study clinic or hospital was positive:

Easy to park

Walk from parking lot to the study center

Wheelchair accessibility

Comfortable waiting rooms

Wi-fi access

Concierge travel service (e.g., hotel, car services)

Which of the following materials did you see

and/or receive during the clinical study?

Select any or all that apply.

What were your motivations for participating in this study?

Select all that apply.

What do you consider to be the most important

for future clinical study participation?

Select all that apply.

Would you recommend joining

a clinical study to others?

Thank You!

Thank you again for participating in the

GenePHIT Clinical Study and for completing this survey.

We will evaluate your responses in order to look

at ways for improving future clinical studies.

You can now close this window.

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