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ANVS22001 Exit Interview

 

1. Please provide your patient ID #.

 


2. At which clinical site name did you participate in the ANVS-22001 study?


3. How satisfied are you with the overall experience of participating in the ANVS-22001 Study?

 


4. How satisfied are you with the clinical site personnel?



5. How easy (or difficult) was it for you to access the site?


6. Are there any improvements you can recommend to the site?

 

 

 


7. How satisfied are you with the information provided to you during the trial?
 


8. How easy (or difficult) did you find the tests and examinations at each clinical visit?
 


9. Are there any improvements you can recommend to the tests and examinations?

 

 

 


10. Which three Parkinson’s Disease related symptoms do you want to improve the most?

 

 

 

 

 

 

 

11. While participating in the ANVS-22001 Study, did you experience any change in those symptoms?

 

 

 

 


12. During your participation in the ANVS-22001 Study or since participating, did you feel any change in your movement? If so, in which specific areas?

 

 

 


 

13. Were there any other symptoms that you felt were changed?

 

 


14. If approved and made available, how likely is it that you would add the trial drug to your current protocol?
 


15. Finally, are there any other comments you would like to make?

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