Online screening questionnaire - Diagnostic Testing

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Step 1 of 21

Thanks!

Just before we start, I would like to reassure you that any information you provide us with here will be treated as confidential, and we will always hold this information securely and delete it when no longer needed. Neither your name, nor the name of your organisation will be revealed to our client.

However, if you are selected and you decide to participate in the full research interview, all data, records and other personal information that you then provide during this full project interview will be combined with other responses from other participants in the shared research findings. We conduct all studies in accordance with the Dutch Code of Conduct for Medical Devices and Pharmaceutical Advertising and, if you no longer wish to take part in the research, you can tell your interviewer at any time, and we will stop our conversation.

Can we proceed based on the above?*

Yes

Thank you for the time you have taken to review this discussion – I will contact you about different projects in the future, if this is of interest to you?

SQ 1) Thank-you. How well do you speak English?*

a) I speak English at an advanced or fully proficient level, and I can speak about the technical aspects of my job in English

b) I speak English at an intermediate level

c) I speak English at a beginner level

d) I don’t speak English at all

Please select one option: SINGLE CODE

SQ 2) And what is your age range?*

a) Less than 20

b) 20 to 25

c) 26 to 30

d) 31 to 35

e) 36 to 40

f) 41 to 45

g) 46 to 50

h) 51 to 55

i) 56 to 60

j) 61 and over

Please select one option: SINGLE CODE

SQ 3a) What type of setting do you work in?*

a) Hospital Lab

b) Regional Lab

c) Research Lab

d) Core Clinical Lab

e) Central Lab

f) Clinic

g) Physician’s Office

h) Other

Please select one option: SINGLE CODE

Please specify below: (workplace setting)*

SQ 3b) Which best describes your current job role?*

a) Clinical Lab Specialist

b) Medical Technologist

c) Laboratory Technologist

d) Medical Practitioner (MP)

e) Licenced Practical Nurse (LPN)

f) Registered Nurse (RN)

g) Nurse Practitioner (NP)

h) Physician’s Assistant (PA)

i) Medical Assistant (MA)

j) Point of Care Nurse

k) Other

Please select one option: SINGLE CODE

Please specify below: (current job role)*

SQ 4a) How long have you worked in this type of job role (including all employment locations)?*

a) Less than 6 month

b) 6 months - 2 years

c) 2 years - 5 years

d) 5 years – 8 years

e) 8+ years

Please select one option: SINGLE CODE

SQ 4b) Do you directly provide care to the patient?*

a) Yes

b) No

Please select one option: SINGLE CODE

SQ 4c) Do you collect patient samples?*

a) Yes

b) No

Please select one option: SINGLE CODE

SQ 4d) Do you have experience running diagnostics PCR tests in your current job role?*

a) Yes

b) No

Please select one option: SINGLE CODE

SQ 5a) Thank-you for running through these introductory questions. Which machines do you use to run PCR tests?*

a) Abbott

b) BioFire

c) Cepheid

d) Hologic

e) Qiagen

f) Quidel

g) Roche

h) Other

Please select one or more options: MULTICODE

Please specify below: (type of PCR testing machines)*

SQ 5b) If you have selected Cepheid, what instrument do you use?*

a) GX 2 (2 modules + laptop)

b) GX 4 (4 modules + laptop)

c) GX 16 (16 modules + laptop)

d) Xpress (4 modules with a touchscreen on top)

e) Infinity (36-48 modules)

f) I don’t use Cepheid

Please select one option: SINGLE CODE

SQ 6) And where are the diagnostic machine(s) that you use relative to the patient?*

a) In the same room

b) in an adjacent room

c) In a non-adjacent room

d) In the same building, but a different floor

e) In a different building

f) Other

Please select one or more options: MULTICODE

Please describe below: (location of diagnostic machines)*

SQ 7) What is your gender?*

a) Male

b) Female

c) Other / non-binary

Please select one option: SINGLE CODE

SQ 8) And what is your height?*

Please describe above: (height in metres / centremetres)

SQ 9) What is the type of lab you work in?*

a) Molecular

b) Haematology

c) Oncology

d) Infectious disease

e) ICU

g) Other

Please select one option: SINGLE CODE

Please specify*

SQ 10a) Do you have experience performing Gastrointestinal viral / bacterial diagnostic tests?*

a) Yes

b) No

Please select one option: SINGLE CODE

SQ 10b) Do you have experience performing Respiratory viral / bacterial diagnostic tests?*

a) Yes

b) No

Please select one option: SINGLE CODE

SQ 11) And what activities are part of your job role?*

a) Unpacking and setting up new instruments

b) Running tests

c) Entering results in LIS

d) Interpreting results

e) Performing quality control

f) Performing routine maintenance

g) Troubleshooting errors

h) Managing inventory of tests

i) Collecting samples

j) Providing patient care

h) Other

Please select one or more options: MULTICODE

Splease specify*

CONFIRMATION

SQ 12a) Thank you for the time you have taken to answer these screening questions - I would like to consider inviting you to participate in a research discussion lasting 2 – 3 hours at a venue near the main Amsterdam rail station, where you will be evaluating physical medical equipment. Your identity will not be revealed, and you will receive compensation 3 – 5 days after the discussion (via Bank transfer or PayPal). However, prior approval will need to be submitted to your employer (in line with the Dutch Code of Conduct for Medical Devices and Pharmaceutical advertising). Accordingly, could you advise?*

a) Yes, I am happy to participate and sign an ‘informed consent form’, with my employer signing ‘MedTech Employer Notification for engaging services’;

b) Yes, I am happy to participate, although it might be a bit tricky receiving approval from my employer;

c) No, I do not wish to contribute to this discussion.

Please select one option: SINGLE CODE

SQ 12b) We will be interviewing during w/c 29th July - could you advise of a few suitable interview times, so that we can speak with you at our Amsterdam venue for between 2 - 3 hours? *

Mon 29th July:

9.30-12.30pm CEST

2 – 5pm CEST

Please select one or more options: MULTICODE

Tues 30th July:

9.30-12.30pm CEST

2 – 5pm CEST

Please select one or more options: MULTICODE

Wed 31st July:

9.30-12.30pm CEST

2 – 5pm CEST

Please select one or more options: MULTICODE

Thurs 1st Aug:

9.30-12.30pm CEST

2 – 5pm CEST

Please select one or more options: MULTICODE

Fri 2nd Aug:

9.30-12.30pm CEST

2 – 5pm CEST

Please select one or more options: MULTICODE

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Earliest Date and Time

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Next Date and Time (if available)

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Next Date and Time (if available)

SQ 12c) Thank-you - I would be grateful if you could confirm a few final details:

Your Name*

Job Title*

Location/s where you work*

Company name*

Phone (inc international dialling code)*

Email*

LinkedIn profile link