Collaboration Opportunities at CISCRP

Thank you for expressing interest in volunteering with CISCRP. We are dedicated to engaging the public and patients as partners in clinical research.

As part of our process, we have a few questions to ask. Please complete the brief survey below and upon completion, we will contact you.

1. Select one option below that best describes you.
I am a (an): *This question is required.

Individual
Patient advocate
Medical professional
Clinical Research Professional

2. Often we look for people with specific conditions or diagnoses.

If you or a family member has received a specific diagnosis please feel free to write it in below.

If you prefer not to answer, please put "prefer not to answer" or "n/a".

3. Have you ever participated in a clinical trial?

4. Please share with us why you would like to volunteer at CISCRP *This question is required.

5. Do you have access to a computer and internet to complete the review of materials?

6. How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy?

7. Select one option that best describes you.

8. Select an option below that best describes how you identify.

9. Please select any of the ways in which you would like to help.

Review the materials people receive about clinical trials
Answer online surveys or be interviewed
Join focus groups to review and discuss clinical trial plans
Speak at a CISCRP educational event
Share your story in a newspaper article, newsletter, or other public-facing material CISCRP develops

10. Please select the therapeutic areas that are of interest to you.

11. Please select topics that are of interest to you.

African American and Black representation in clinical trials
Los Hispanos y La investigación clínica
Asian communities and representation in clinical research
LGBTQ+ inclusivity
Diversity and inclusion in clinical research
COVID-19 vaccine development
Participation in clinical trials
Pediatric clinical trials
Health care professionals' roles in clinical research

12. How often would you like to volunteer with CISCRP?

13. Would you be interested in learning more/ volunteering on CISCRP's standing review panel?

This is for a group of volunteers that would be reached out to on a more frequent basis, volunteer on special projects, and have flexible timelines.

14. Where did you learn about CISCRP's Editorial Panels? Check all that apply.

15. Please enter your contact information.

Name *This question is required.

Company (if applicable)

Country

Email Address *This question is required. This question requires a valid email address.

Collaboration Opportunities at CISCRP

Brief Survey