1. Educational Activities

• What three topics would be most helpful to you in your day-to-day work involving human subject research?
  
  (For example: completing application forms, Adverse Event reporting, writing a consent document, subject selection and recruitment, etc.)
  
  1.
  2.
  3.
  
  
• What days and times are you most available to attend educational events?
  
  Choose all that apply:
  
  

  Monday	a.m.	p.m.
  Tuesday	a.m.	p.m.
  Wednesday	a.m.	p.m.
  Thursday	a.m.	p.m.
  Friday	a.m.	p.m.

  
  
• What educational formats do you find most convenient or effective for your learning style?
  
  For example: online tutorials, e-mail briefings, seminars/lectures, workshops, manuals/self-help guides, web accessible information, presentations to your work group, etc.
  
  

2. Application Questions

What three topics or sections would most benefit from additional clarification?
Please be specific. Identify the form or template and indicate section or item numbers.

1.
2.
3.

3. Additional comments

Do you have additional comments, questions or concerns?

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