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Secured access to the current studies with webbased remote data entry

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ClinResearch Software Problem Report / Suggestion Form

If you encounter problems or mistakes in the ClinResearch software, please submit a report using the following web form. This will ensure that the development team properly reviews and tracks all issues related to the software.
Suggestions for improvement are most welcome. We truly appreciate your contribution to help us in our work to improve our services.
Thank you for your help!

Reporter
First name:
Last name:
Address:
City:		ZIP:
Country:
E-mail address:
Report Id.:	7228
Enter report Id.:

System information
Operating System:
Other system:
Web Browser
Other browser:
Internet Connection Speed:

Problem description
The time, when the problem occurred:
General description:
Study name: (if applicable)
Patient No: (if applicable)
Form of the iCRF: (if applicable)
Page of the iCRF: (if applicable)
Steps to reproduce mistake:	1. 2. 3. Expected Result: Actual Result:
Suggestions for improving our software and services: