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Discovering New Ways of Scientific Thinking

Our main purpose is to help the Pharmaceutical Companies and Contract Research Organizations to find the right Physician Investigator to assure the rapid and accurate completion of the clinical trial.

 

Valuable Investigators Database Concept Research

Pre-Study Assessmen Questoinnaire

 

 

Country: ROMANIA

City: ..........................

Participant name: ..........................

Participant speciality: ..........................

Participant title: ..........................

Practice:       □ Private    □Public   □Hospital   □Specialized Clinic   □SMO    □Other……….

 

Institution name: ..........................

Institution address: .......................... 

Phone number: ..........................

Fax number: ..........................

E-mail: ..........................

 

 

 

 

Adverse Events  Experience

 

1.Have you at  your site ever experienced a SAE (Serious Adverse Event) or other critical challenge during your research experience?

(  ) Yes

(  ) No

 

 

2.Do you know all the GCP subject related procedures for solving  and close any possible appeard SAE?

(  ) Yes

(  ) No

 

 

Dear  participant thank you very much for giving us a more deep insight into the acceptance and practicability of the planned clinical study and your potential for participating. Please don’t hesitate to give us any further comments to the planned  project.

All your answers will be summarized and reported anonymously on a per country basis.

 

PERSONAL DATA OR PRIVACY PROTECTION

Please be advised that VID Concept  Research  must track and electronically maintain certain information associated with Investigators and sites in order to perform

expected duties on behalf of its Sponsors, such as Investigator selection and ongoing project management. In compliance with applicable personal

data protection or privacy principles, VID Concept Research  is hereby informing you that personal information you provide to us may be maintained in this way and

may be transferred to the Sponsor,  or other regulatory bodies. The information to be maintained includes, but is not limited to the following:

• Investigator name and contact information

• Other relevant information to allow selection for appropriate projects in the future