End of Pilot Assessment 
(To be completed by all pilot project participants individually 
 at the END OF THE PILOT PERIOD only)
Over the past 6 months, you have pilot tested the mCTA by providing substantive feedback on exactly what had to be changed in the mCTA to reach a joint agreement. We would now like to know about your personal experience with the mCTA. Please take a moment to reflect on the last six months and answer the following questions to the best of your knowledge. Your answers will remain confidential and will only be used in aggregate form. You may type directly into the form. Save your completed form on your desktop and email it to CIHR at mcta-meec@cihr-irsc.gc.ca.   

1.	Check the party with whom you are affiliated: 
a.	clinical site_________
b.	clinical trial sponsor_________  
c.	I am the principal investigator _________

2.	How many Phase II and III clinical trial contracts were negotiated during the pilot (Oct.1, 2011- March 31, 2012)? _____________

3.	How many of the Phase II and III clinical trial contracts that were negotiated during this period involved using the model Clinical Trial Agreement template? __________

4.	If in question 3 you indicated one or more contracts negotiated without using the mCTA, why was this  the case?  

(Open text box or attach comments)

5. 	To what extent do you agree with the following statements:
	Strongly agree	Agree	Disagree	Strongly
disagree	Don’t know	Comments	
a. The language of the mCTA for the most part met our needs.							
b. The mCTA made it easy to communicate each party’s needs.							
c. The mCTA was easy to use from the start of the pilot.							
d. The mCTA became  easy to use as we gained experience with it 							
e. The ease of using the mCTA varies for me depending on the partner with whom we are negotiating the contract.							
f. I will continue using the mCTA after the pilot.  							
g. I would only want to continue using the mCTA if significant changes are made to it. 							
h. Overall, using the mCTA helped to save time for me/staff in negotiating agreements 							
i. Overall, using the mCTA shortened overall contract negotiation time (i.e. from initiation to signature) 							

9. How much estimated time did using the mCTA template save? _________

10.   In general please tell us which areas of the contract (clause numbers if possible), if any, seemed to consistently cause the most concern (whether it was for you, partners, or in general. (You can be as brief or as detailed as you would like)

11. What overall comments do you have on the mCTA and your experience using it during the pilot?  What should be changed and how should it be changed?

12. Report completed by: 

Name: _______________________________________   Title ________________________________

Organization: _______________________________________________________________________

Address	__________________________________________________________________________

		__________________________________________________________________________

		__________________________________________________________________________

      Date: 	_______________________________________