4921/恒瑞/ SHR-1314-301_CUSTOMER FEEDBACK SURVEY

期待您的参与！现在我们就马上开始吧！

您的姓名：

____________

Survey conducted date:

2021.9.8

2021.9.9

2021.9.10

2021.9.11

2021.9.12

2021.9.13

2021.9.14

2021.9.15

2021.9.16

Drug Management Drug Re-order

Unsatisfactory

Acceptable

Satisfactory

Very Satisfactory

N/A

Study Supplies

Unsatisfactory

Acceptable

Satisfactory

Very Satisfactory

N/A

Overall evaluation：If 100 is full score, please give CRC an estimated score for the past 3 monthsfor this study:

____________

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