Global Pharmacovigilance Site Survey

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* 1. Please provide your job title and location:

Job title:

Country: *

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* 2. Have you ever undertaken any role that involved collecting, managing or analysing data for assessing the safety of a healthcare-related product or process?

Yes

No

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* 3. If yes, what was this healthcare product or process (please tick all that apply below):

Medicine/drug

Vaccine

Medical device

Traditional/herbal medicine

Non-drug complementary therapy

Biologic

Other (please specify)

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* 4. Where do you usually obtain your information and tools from (e.g. about methods, data collection forms, Standard Operating Procedures - please list these in the comment box)

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* 5. What particular challenges do you encounter in performing your pharmacovigilance-related role (please list these in the comment box)?

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* 6. What information or additional resources would you like to see on this site focusing on pharmacovigilance-related topics (please list these in the comment box)?

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* 7. If you would like to be contacted for further information please provide your details below:

Name:

Institution:

Department/Division:

Email Address:

For any further questions about Global Pharmacovigilance-related topics please contact us at: pharmacovigilance@tghn.org