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Study Feedback Survey

Title of Study: “Rapid point of care strip test development to detect periodontal gum disease bacterial by-products in saliva”  

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Principal Investigator: Denice Bay, +1 (204)-977-5679

Sponsor: Peter Taylor, Periodiagnostics Inc., +1 (204)-803-6979

Biomedical Research Ethics Number: HS26411 (B2024:036)

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This anonymous and optional online study feedback form will help our team conducting this University of Manitoba-led study of testing a rapid point-of-care strip device for detecting periodontal gum disease, to improve our participant collection experience. These surveys will be used to address any questions or concerns a participant may have related to the study.

 

Please do not put your name or any personal identifying information on this form, as it is meant to be anonymous.

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If you wish to contact any study supervisors, please call and leave a voicemail at the following number: 204-977-5679.

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This feedback survey is intended to be collected anonymously, and it will be used by study team leaders and University Research Ethics Board Committee staff to learn more about any concerns or questions regarding how this study was conducted. It may also be used to review how well our study personnel are doing in collecting saliva samples safely and discreetly, so we can offer the best experience to participants.

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We thank you very much for your time and your feedback!

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Please rate your experiences after participating in this study:

  1. These questions below will ask about your interactions with the study’s staff. 

Poor          Average       Excellent

1      2       3      4       5

Were you treated with respect?
If you had any questions or concerns, did you feel comfortable asking them?
Did you feel pressured to participate?
Did you feel like you had enough time to make an informed decision to join the study?

If you have any other concerns about study staff interactions you would like to share,
please indicate them here:

2.  These questions below will ask about your overall saliva sample donation experience.

Poor         Average      Excellent

1      2       3      4      5

Did you have any problems donating saliva in the collection spit tube?
Was it easy to donate saliva using the provided collection tube?
Did you feel you had enough privacy to provide a saliva sample in the collection tube?
Did you feel you had enough time to donate a salivary sample?

If you have any other concerns about the saliva sample donation process you would like to share,
please indicate them here:

3.  These questions below will ask about your overall questionnaire completion experience.

Poor         Average      Excellent

1      2       3      4      5

The questions asked seemed appropriate to answer for this study (ie. related to oral health, dietary, and lifestyle choices)
The questions asked were clear and easy to understand when responding

If you have any other concerns about the study questionnaire you would like to share,
please indicate them here:

Thank you for completing the Feedback Survey!
 

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