Medical Research Electronic Submission Pre-Implementation Survey
Page 1 of 10

Medical Research is beginning to implement a new electronic submission system. We want to get an accurate feel for the research and grants submission process before and after implementation of the new system. This QI survey is voluntary and anonymous.

DEMOGRAPHICS

1. What is your role as related to research?
Please select the one choice below that best describes your role in research at CMH.

Administrator
Investigator
Research Coordinator
Research Nurse
Laboratory Personnel
Other:

2. What is your primary department/division?
Please specify the primary department/division with which you are affiliated.

Other, please specify

3. What types of research are you generally involved with at CMH?
Please select all that apply.

Clinical trials - Drug  
Clinical trials - Device  
Genetic studies  
Survey research  
Clinical outcomes research (without intervention)  
Bench Science  
Other:

4. Please rate your comfort level with use of the internet and e-mail.

Very Comfortable
Somewhat Comfortable
Somewhat Uncomfortable
Very Uncomfortable

5. How many times have you been involved in the submission of any type of grant and/or industry application through Medical Research within the last 6 months?

0 times
1 time
2-3 times
4-9 times
10 or more times

6. How long have you been involved in the conduct, coordination, or review of research at CMH?

Less than 1 year
1-2 years
More than 2 years

7. Have you had any experience with an electronic grant / industry submission system at another institution?

Yes
No