2013_GSK - Potential Adverse Events Process

We would like your feedback on the AE process! Please answer the questions below to the best of your ability. This survey is anonymous.



A red asterisk (*) indicates required questions.


  1. When filling out the AE form, do you keep the caller on the line?*
    Yes
    No


  1. If you answered no to question 1, please state why.


  1. Are you unsure which questions you can and cannot probe for when completing the form?*
    Yes
    No


  1. Are there sections on the AE form that are confusing and you are not sure what to put in the space? *
    Yes
    No


  1. If you reseponded yes to question 4, please advise which questions and why.


  1. Would you prefer to transfer the caller or complete the form?*
    Transfer the Caller
    Complete the Form


  1. How comfortable are you with handling AE calls?  *


  1. If you answered not at all or somewhat to question 7, please explain why.


  1. How comfortable are you in advising the caller that they may be contacted by the Safety Team to discuss further?  *


  1. How confident are you in determining the difference between a potential AE and a non potential AE?  *


  1. What are the main reasons you are unable to successfully transfer a caller to the GSK RC for a potential AE? (Select up to 2)*
    Caller hung up
    Long wait time
    Caller doesnt want to be transferred
    GSK RC is closed