*First Name

*Last Name

*Company/Sponsor Name

*Protocol Number

Investigator Name (if applicable)

*Phone Number

*Email Address

1. How did you learn about Salus IRB?

2. Please rate the following:
 
     On a scale of 1 to 5, 1 being “Poor” and 5 being “Excellent”, how would you rate the following:

Customer Service	1	2	3	4	5
Quality	1	2	3	4	5
Flexibility	1	2	3	4	5
Cost	1	2	3	4	5
Turnaround	1	2	3	4	5

3. Which of the Salus IRB’s technologies did you take advantage of?

SafeSync Online SubmissionsGlobeSync™ Virtual Workspace
None

4. Did you find the Salus IRB website to be:

Easy to NavigateSomewhat Easy to Navigate
Difficult to NavigateVery Difficult to Navigate

5. Did you find the Salus IRB submission forms to be:

Very User FriendlyUser Friendly
Somewhat User FriendlyNot at all User Friendly

6. Would you choose Salus IRB for future studies?

YesNo
Not the decision maker

If you are not the decision maker, who may we contact for discussion of future projects?

*Name

*Title

*Phone Number

*Email Address

7. Is there a Salus IRB team member who exceeded your expectations or provided excellent customer service who you wish to recognize?

YesNo

8. What additional services could we offer that would be of benefit to you
and your company?

9. Do you have other comments,
concerns, or suggestions for improvement?