Clinical Trial Participant Feedback
Clinical trial success depends on participant experience and retention. This comprehensive feedback form captures insights on informed consent clarity, staff professionalism, visit experience, side effect communication, and overall study participation satisfaction. Help research teams improve participant experience and increase study completion rates.
Try the Form
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
export function clinicalTrialFeedbackSurvey(form: FormTs) {
// Clinical Trial Participant Feedback - Research study experience evaluation
// Demonstrates: MatrixQuestion, StarRating, EmojiRating, RatingScale, Slider, conditional visibility
// ============================================
// HEADER
// ============================================
form.addRow(row => {
row.addTextPanel('header', {
label: 'Study Participant Feedback',
computedValue: () => 'Your feedback helps us improve the research experience for all participants. All responses are confidential.',
customStyles: {
backgroundColor: '#0891b2',
color: 'white',
padding: '24px',
borderRadius: '12px',
textAlign: 'center'
}
});
});
// ============================================
// SECTION 1: Study Information
// ============================================
const studySection = form.addSubform('studySection', {
title: 'Study Information'
});
studySection.addRow(row => {
row.addDropdown('studyPhase', {
label: 'Where are you in the study?',
options: [
{ id: 'just-enrolled', name: 'Just enrolled (after consent)' },
{ id: 'early-treatment', name: 'Early treatment phase' },
{ id: 'mid-study', name: 'Mid-study' },
{ id: 'near-end', name: 'Near study completion' },
{ id: 'completed', name: 'Completed the study' },
{ id: 'withdrew', name: 'Withdrew from study' }
],
isRequired: true,
placeholder: 'Select your current phase...'
}, '1fr');
row.addRadioButton('visitCount', {
label: 'Approximate number of study visits so far',
options: [
{ id: '1-2', name: '1-2 visits' },
{ id: '3-5', name: '3-5 visits' },
{ id: '6-10', name: '6-10 visits' },
{ id: 'more-10', name: 'More than 10' }
],
orientation: 'vertical'
}, '1fr');
});
// Withdrawal reason (conditional)
studySection.addSpacer();
studySection.addRow(row => {
row.addCheckboxList('withdrawReason', {
label: 'Why did you withdraw from the study?',
options: [
{ id: 'side-effects', name: 'Side effects/adverse reactions' },
{ id: 'time-commitment', name: 'Too much time commitment' },
{ id: 'travel', name: 'Travel/distance to site' },
{ id: 'personal', name: 'Personal/life circumstances' },
{ id: 'no-benefit', name: 'Felt no benefit' },
{ id: 'staff-issues', name: 'Issues with study staff' },
{ id: 'other', name: 'Other reasons' }
],
orientation: 'vertical',
isVisible: () => studySection.dropdown('studyPhase')?.value() === 'withdrew'
});
});
// ============================================
// SECTION 2: Informed Consent Experience
// ============================================
const consentSection = form.addSubform('consentSection', {
title: 'Informed Consent Process',
customStyles: () => {
const understanding = consentSection.ratingScale('consentUnderstanding')?.value();
if (understanding && understanding >= 4) return { backgroundColor: '#d1fae5', padding: '16px', borderRadius: '8px' };
if (understanding && understanding <= 2) return { backgroundColor: '#fee2e2', padding: '16px', borderRadius: '8px' };
return { backgroundColor: '#f0f9ff', padding: '16px', borderRadius: '8px' };
}
});
consentSection.addRow(row => {
row.addRatingScale('consentUnderstanding', {
preset: 'likert-5',
label: 'How well did you understand the study before agreeing to participate?',
lowLabel: 'Very confused',
highLabel: 'Completely clear',
size: 'md',
alignment: 'center',
isRequired: true
});
});
consentSection.addSpacer({ height: '16px' });
consentSection.addRow(row => {
row.addMatrixQuestion('consentMatrix', {
label: 'Please rate the consent process:',
rows: [
{ id: 'explained-risks', label: 'Risks were clearly explained', isRequired: true },
{ id: 'explained-benefits', label: 'Potential benefits were explained', isRequired: true },
{ id: 'time-to-decide', label: 'Had enough time to decide', isRequired: true },
{ id: 'questions-answered', label: 'All questions were answered', isRequired: true },
{ id: 'no-pressure', label: 'Felt no pressure to participate', isRequired: true }
],
columns: [
{ id: 'strongly-agree', label: 'Strongly Agree' },
{ id: 'agree', label: 'Agree' },
{ id: 'neutral', label: 'Neutral' },
{ id: 'disagree', label: 'Disagree' },
{ id: 'strongly-disagree', label: 'Strongly Disagree' }
],
striped: true,
fullWidth: true
});
});
// ============================================
// SECTION 3: Study Staff & Communication
// ============================================
const staffSection = form.addSubform('staffSection', {
title: 'Study Staff & Communication',
isVisible: () => studySection.dropdown('studyPhase')?.value() !== null
});
staffSection.addRow(row => {
row.addStarRating('staffRating', {
label: 'How would you rate the study staff overall?',
maxStars: 5,
size: 'lg',
alignment: 'center',
showConfettiOnMax: true
});
});
staffSection.addSpacer({ height: '16px' });
staffSection.addRow(row => {
row.addMatrixQuestion('staffMatrix', {
label: 'Rate the research team on:',
rows: [
{ id: 'professionalism', label: 'Professionalism', isRequired: true },
{ id: 'responsiveness', label: 'Response to questions/concerns', isRequired: true },
{ id: 'empathy', label: 'Empathy and care', isRequired: true },
{ id: 'communication', label: 'Clear communication', isRequired: false },
{ id: 'punctuality', label: 'Appointment punctuality', isRequired: false }
],
columns: [
{ id: 'excellent', label: 'Excellent' },
{ id: 'good', label: 'Good' },
{ id: 'fair', label: 'Fair' },
{ id: 'poor', label: 'Poor' }
],
striped: true,
fullWidth: true
});
});
// ============================================
// SECTION 4: Side Effects & Safety
// ============================================
const safetySection = form.addSubform('safetySection', {
title: 'Side Effects & Safety',
isVisible: () => {
const phase = studySection.dropdown('studyPhase')?.value();
return phase !== null && phase !== 'just-enrolled';
}
});
safetySection.addRow(row => {
row.addRadioButton('experiencedSideEffects', {
label: 'Have you experienced any side effects during the study?',
options: [
{ id: 'none', name: 'No side effects' },
{ id: 'mild', name: 'Mild side effects' },
{ id: 'moderate', name: 'Moderate side effects' },
{ id: 'severe', name: 'Severe side effects' }
],
orientation: 'horizontal',
isRequired: true
});
});
// Side effect handling (conditional)
safetySection.addSpacer({ height: '16px' });
safetySection.addRow(row => {
row.addThumbRating('sideEffectsAddressed', {
label: 'Were your side effects addressed promptly and appropriately?',
showLabels: true,
upLabel: 'Yes',
downLabel: 'No',
size: 'lg',
alignment: 'center',
isVisible: () => {
const se = safetySection.radioButton('experiencedSideEffects')?.value();
return se === 'mild' || se === 'moderate' || se === 'severe';
}
});
});
safetySection.addRow(row => {
row.addSlider('sideEffectImpact', {
label: 'How much have side effects impacted your daily life?',
min: 0,
max: 10,
step: 1,
showValue: true,
defaultValue: 0,
isVisible: () => {
const se = safetySection.radioButton('experiencedSideEffects')?.value();
return se === 'mild' || se === 'moderate' || se === 'severe';
}
});
});
safetySection.addSpacer();
safetySection.addRow(row => {
row.addTextarea('sideEffectDetails', {
label: () => {
const severity = safetySection.radioButton('experiencedSideEffects')?.value();
if (severity === 'severe') return 'Please describe your side effects (IMPORTANT for safety review):';
return 'Any additional details about side effects? (Optional)';
},
placeholder: 'Describe symptoms, timing, duration...',
rows: 3,
autoExpand: true,
isVisible: () => {
const se = safetySection.radioButton('experiencedSideEffects')?.value();
return se !== 'none' && se !== null;
},
isRequired: () => safetySection.radioButton('experiencedSideEffects')?.value() === 'severe'
});
});
// ============================================
// SECTION 5: Study Logistics
// ============================================
const logisticsSection = form.addSubform('logisticsSection', {
title: 'Study Logistics',
isVisible: () => staffSection.starRating('staffRating')?.value() !== null
});
logisticsSection.addRow(row => {
row.addEmojiRating('schedulingEase', {
label: 'How easy is it to schedule study visits?',
preset: 'effort',
size: 'lg',
showLabels: true,
alignment: 'center'
});
});
logisticsSection.addSpacer({ height: '16px' });
logisticsSection.addRow(row => {
row.addRadioButton('visitDuration', {
label: 'Are visit durations reasonable?',
options: [
{ id: 'too-short', name: 'Too short (feel rushed)' },
{ id: 'just-right', name: 'Just right' },
{ id: 'too-long', name: 'Too long' }
],
orientation: 'horizontal'
}, '1fr');
row.addRadioButton('travelBurden', {
label: 'Is travel to the study site manageable?',
options: [
{ id: 'easy', name: 'Easy' },
{ id: 'manageable', name: 'Manageable' },
{ id: 'difficult', name: 'Difficult' }
],
orientation: 'horizontal'
}, '1fr');
});
// ============================================
// SECTION 6: Overall Experience
// ============================================
const overallSection = form.addSubform('overallSection', {
title: 'Overall Experience',
isVisible: () => logisticsSection.emojiRating('schedulingEase')?.value() !== null,
customStyles: () => {
const nps = overallSection.ratingScale('participantNps')?.npsCategory();
if (nps === 'promoter') return { backgroundColor: '#d1fae5', padding: '16px', borderRadius: '8px' };
if (nps === 'detractor') return { backgroundColor: '#fee2e2', padding: '16px', borderRadius: '8px' };
return { backgroundColor: '#f0f9ff', padding: '16px', borderRadius: '8px' };
}
});
overallSection.addRow(row => {
row.addRatingScale('participantNps', {
preset: 'nps',
label: 'How likely are you to recommend participating in research studies to others?',
showCategoryLabel: true,
showSegmentColors: true,
showConfettiOnPromoter: true,
isRequired: true
});
});
overallSection.addSpacer({ height: '20px' });
overallSection.addRow(row => {
row.addRadioButton('wouldParticipateAgain', {
label: 'Would you participate in another research study?',
options: [
{ id: 'definitely', name: 'Definitely yes' },
{ id: 'probably', name: 'Probably yes' },
{ id: 'unsure', name: 'Unsure' },
{ id: 'probably-not', name: 'Probably not' },
{ id: 'definitely-not', name: 'Definitely not' }
],
orientation: 'horizontal'
});
});
overallSection.addSpacer();
overallSection.addRow(row => {
row.addTextarea('overallFeedback', {
label: () => {
const nps = overallSection.ratingScale('participantNps')?.npsCategory();
if (nps === 'promoter') return "What made your experience positive?";
if (nps === 'detractor') return "What could we have done better?";
return "Any other feedback about your study experience?";
},
placeholder: 'Share your thoughts...',
rows: 3,
autoExpand: true
});
});
// Contact permission
overallSection.addSpacer({ height: '16px' });
overallSection.addRow(row => {
row.addCheckbox('canContact', {
label: 'The study team may contact me to discuss my feedback'
});
});
// ============================================
// SECTION 7: Summary
// ============================================
const summarySection = form.addSubform('summarySection', {
title: 'Feedback Summary',
isVisible: () => overallSection.ratingScale('participantNps')?.value() !== null
});
summarySection.addRow(row => {
row.addTextPanel('summary', {
computedValue: () => {
const phase = studySection.dropdown('studyPhase')?.value();
const consentUnderstanding = consentSection.ratingScale('consentUnderstanding')?.value();
const staffRating = staffSection.starRating('staffRating')?.value();
const sideEffects = safetySection.radioButton('experiencedSideEffects')?.value();
const nps = overallSection.ratingScale('participantNps')?.value();
const category = overallSection.ratingScale('participantNps')?.npsCategory();
const wouldAgain = overallSection.radioButton('wouldParticipateAgain')?.value();
if (!phase || nps === null || nps === undefined) return '';
const phaseLabels: Record<string, string> = {
'just-enrolled': 'Just Enrolled',
'early-treatment': 'Early Treatment',
'mid-study': 'Mid-Study',
'near-end': 'Near Completion',
'completed': 'Completed',
'withdrew': 'Withdrew'
};
const sideEffectLabels: Record<string, string> = {
'none': 'None',
'mild': 'Mild',
'moderate': 'Moderate',
'severe': 'Severe'
};
const againLabels: Record<string, string> = {
'definitely': 'Definitely yes',
'probably': 'Probably yes',
'unsure': 'Unsure',
'probably-not': 'Probably not',
'definitely-not': 'Definitely not'
};
let emoji = '🔬';
if (category === 'promoter') emoji = '💚';
else if (category === 'detractor') emoji = '⚠️';
let summary = `${emoji} Participant Feedback Summary\n`;
summary += `${'═'.repeat(32)}\n\n`;
summary += `Study Phase: ${phaseLabels[phase]}\n`;
if (consentUnderstanding) summary += `Consent Understanding: ${consentUnderstanding}/5\n`;
if (staffRating) summary += `Staff Rating: ${'★'.repeat(staffRating)}${'☆'.repeat(5 - staffRating)}\n`;
if (sideEffects) summary += `Side Effects: ${sideEffectLabels[sideEffects]}\n`;
summary += `\n`;
summary += `NPS Score: ${nps}/10 (${category?.charAt(0).toUpperCase()}${category?.slice(1)})\n`;
if (wouldAgain) summary += `Would Participate Again: ${againLabels[wouldAgain]}`;
return summary;
},
customStyles: () => {
const category = overallSection.ratingScale('participantNps')?.npsCategory();
const baseStyles = {
padding: '16px',
borderRadius: '8px',
whiteSpace: 'pre-wrap',
fontFamily: 'monospace',
fontSize: '14px'
};
if (category === 'promoter') {
return { ...baseStyles, backgroundColor: '#d1fae5', borderLeft: '4px solid #10b981' };
} else if (category === 'detractor') {
return { ...baseStyles, backgroundColor: '#fee2e2', borderLeft: '4px solid #ef4444' };
}
return { ...baseStyles, backgroundColor: '#fef3c7', borderLeft: '4px solid #f59e0b' };
}
});
});
// ============================================
// FORM CONFIGURATION
// ============================================
form.configureSubmitButton({
label: 'Submit Feedback',
isVisible: () => overallSection.ratingScale('participantNps')?.value() !== null
});
form.configureCompletionScreen({
type: 'text',
title: 'Thank You for Your Feedback',
message: 'Your insights help us improve the research experience for all participants. Your responses will be kept confidential. Thank you for contributing to medical research!'
});
}
Frequently Asked Questions
How do I handle safety-related feedback?
Any side effect or adverse event reports should be reviewed immediately by the study coordinator or principal investigator. This survey supplements but does not replace formal adverse event reporting procedures.
When should participants complete this survey?
Collect feedback at multiple points: after enrollment/consent, at mid-study milestone visits, and at study completion. This captures experience evolution and identifies early issues.
How do I maintain participant confidentiality?
Use participant study IDs instead of names. Store responses separately from clinical data. Aggregate feedback for reporting. Follow your IRB-approved data handling protocols.
Can participants provide anonymous feedback?
Yes, the form includes an anonymity option. Some participants feel more comfortable providing honest feedback when anonymous, especially about staff interactions.
How do I improve based on this feedback?
Focus on actionable items: consent process clarity, scheduling flexibility, staff communication. Share trends with the research team during study meetings. Document improvements for future protocols.