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Questionnaire for preparing a commercial proposal for PIL readability testing
Your company name
Trade name of the medicinal product
INN or group name
*
Dosage form
*
Dosage
*
Specify the registration procedure for your medicinal product
*
New registration
EAEU upgrade
Variations
Other
Has the application for the registration procedure already been submitted?
*
No
Yes, we are waiting for comments on the results of the examination
Yes, comments on the results of the examination have already been received
Has PIL readability testing been previously conducted for the medicinal product?
*
Yes
No
Do you need a service for developing or checking the text of the package leaflet and/or SmPC?
*
Yes, only the package leaflet
Yes, only the SmPC
Yes, both the package leaflet and SmPC
Only need to check the prepared package leaflet and/or SmPC
No
Desired deadline for receiving the report on user testing of the package leaflet
Additional conditions and requests
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How can we contact you?
Your name
*
Email
*
Phone number
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