Market Research Feedback Form
Market research is one of the many ways in which companies obtain the insights required to develop treatments and therapies. Unfortunately, there have been several complaints about how burdensome this process can be for patients and carers. Your opinion matters and you have the power to improve market research practices by reporting your perspective, insights and experiences to the Rare Advocacy Movement's Rare360 program through this form.
Your Name
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Please type in the word "anonymous" if you would prefer to remain anonymous. Please note, that if you choose to remain anonymous, you will not be included in any follow-up communications regarding this report.
Email
If you would like to receive a follow-up regarding the outcome of your submitted report, please provide us with a valid email address. Be sure to review the email address provided to ensure there are no typos. Invalid emails will result in you not receiving any follow-up communications regarding this report.
Phone Number
Please enter a valid phone number if you would like to receive a follow-up text message regarding the outcome of your submitted report. Invalid phone numbers will result in you not receiving any follow-up communications regarding this report.
Disease or Condition Interview or Survey was asking about
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Please let us know which disease(s) or condition(s) this report is in reference to.
Name of the person or market research company/organization that conducted the study that this report is in reference to
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How long did it take you to receive your compensation for participating in this study?
Please note the number of days, weeks or months.
The specific details that has led to the issuing of this report:
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Please provide us with a detailed summary of your comments, concerns, issues and/or requests regarding the study this report is in reference to.
Please upload any screenshot(s)/files in support of your report.
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All statements provided in this form are assumed to be made in good faith and submitted in a truthful manner.
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I certify that all statements made in this form are made in good faith and true to the best of my understanding.
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