1. * Did you choose IntegReview as the IRB for this study?
   Yes No
   If yes, provide two reasons for utilizing our services:
   
2. * What do you expect from an IRB?
   
3. * Did we meet your expectations?
   Yes No
   If no, please explain: 
   
4. How do we rate in the following categories compared with other IRBs you have worked with? (1 would be the lowest and 10 would be the highest)
   

   ITEM	SCORE
   * Cost	--SELECT-- 1 2 3 4 5 6 7 8 9 10
   * Availability	--SELECT-- 1 2 3 4 5 6 7 8 9 10
   * Experience	--SELECT-- 1 2 3 4 5 6 7 8 9 10
   * Flexibility	--SELECT-- 1 2 3 4 5 6 7 8 9 10
   * Meeting Frequency	--SELECT-- 1 2 3 4 5 6 7 8 9 10
   * Quality	--SELECT-- 1 2 3 4 5 6 7 8 9 10
   * Speed	--SELECT-- 1 2 3 4 5 6 7 8 9 10

5. * How can we improve our services?
   
6. * Given the opportunity, would you utilize our services again?
   Yes No
   If no, please explain:
   
7. * Would you recommend our services to colleagues? 
   Yes No
   If no, please explain:
   
8. * What sets us apart from other independent IRBs?
   
9. Optional testimonial that may be posted to our Web Site (no identifiers will be used):
   
   
   IF YOU WOULD LIKE TO RECOGNIZE AN INDIVIDUAL(S) OF OUR STAFF, PLEASE COMPLETE AN “EMPLOYEE RECOGNITION” FORM.
   
   * Sponsor Name:
   
   * Protocol Number:
   
   Principal Investigator Name, when applicable:
   
   * Name of Person Completing Survey:
   
   * Company Name:
   
   * Telephone Number:
   
   * Email:
   
   
10. May we use your name, company name and phone number as a reference for IntegReview?  
    

    Yes      No
    

    
    
11. * Enter verification code:   

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