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Thank you for participating in our brief feedback survey. Please provide answers to our questions.

1. Why did you not enter your contact information after submitting the questionnaire?

Please select all that apply:

  • [r1]

    I was not aware I needed to provide my contact information.
  • [r2]

    I am not sure what the purpose is for providing this information.
  • [r3]

    It would take too long.
  • [r4]

    I encountered technical difficulties.
  • [r5]

    I have privacy concerns.
  • [r6]

    I am not ready to consider participation in this clinical research study.
  • [r7]

    I just wanted to see what the questions were.
  • [r8]

    Other
I was not aware I needed to provide my contact information.
I am not sure what the purpose is for providing this information.
It would take too long.
I encountered technical difficulties.
I have privacy concerns.
I am not ready to consider participation in this clinical research study.
I just wanted to see what the questions were.
Other