$150 Patient Advocacy Representative
Elite Market Research needs men and women to participate in a 1 hour telephone study. If your position in your organization is:
Patient Services  Director, Patient Financial Services Director, External Affairs Director, (e.g., interacts and  with healthcare organizations, patients and pharmaceutical manufacturers), Business Development Director, or C-Suite we invite you to participate in this 45 - 60 minutes study and receive $150 for your time. To see if you qualify fill out the questionnaire and submit it. We will contact you for scheduling. Please feel free to contact us once you have submitted your answers.
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IN WHAT TIME ZONE DO YOU LIVE? *
WHAT IS YOU FIRST  &  LAST NAME? *
PHONE NUMBER *
EMAIL ADDRESS *
1.    What is your role/title at your organization? *
2.    How many patients are represented by your organization? *
3.   Are you able to comment on the strategic, operational and financial decisions related to your organization’s mission and goals? *
4.   Do you have interactions with Pharmaceutical Companies? [ *
5.   Do you or your organization utilize patient services provided by branded oncology medications? *
6.   On a scale of 1 to 7, where 1=not familiar at all, 4=neutral, and 7=extremely familiar, how would you rate your familiarity with the Hematologic cancers below? *
ONE ANSWER PER CONDITION/DISEASE
1=not familiar
2
3
4=neutral
5
6
7=extremely familiar
Chronic Lymphocytic Leukemia (CLL) ________________
Non-Hodgkins’ Lymphoma (NHL) ________________
Diffuse Large B-Cell Lymphoma (DLBCL) _________________
Follicular Lymphoma (FL) ____________________
Marginal Zone Lymphoma (MZL) ___________________
Mantle Cell Lymphoma (MCL) ____________________
Waldenstroms Macroglobulinemia (WM) ________________
Classic Hodgkins Lymphoma (cHL) _________________
Multiple Myeloma (MM) ____________
Graft vs. Host Disease (GvHD) _______________
7.   What is the name of the facility in which you are employed? *
NO ONE WILL EVER CONTACT  YOUR PLACE OF EMPLOYMENT. THIS INFORMATION IS USED FOR RESEARCH PURPOSES ONLY.
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