Table 2.
Survey questionnaire
| Questions | Response | Phase(s) |
|---|---|---|
| Evaluation of patient acceptance with the three main device functions | ||
| Q1. The force required to press the button is suitable | Scale from 0 (fully disagree) to 10 (fully agree) | Phase 1 and 2 |
| Q2. The force required to press the autoinjector onto the foam pad during the full duration of the injection process is suitable | ||
| Q3. The end of the injection process is visible | ||
| Evaluation of patient acceptance with complementary criteria | ||
| Q4. What score do you give for the ease of use of the autoinjector you tested in this study? | Scale from 0 (not easy at all) to 10 (fully easy) | Phase 1 and 2 |
| Q5. Overall, three steps are required to make an injection with this autoinjector (remove the cap, push until feeling the stop-point, and push on the yellow button). What score do you give for the simplicity of this process? | Scale from 0 (not at all simple) to 10 (fully simple) | Phase 2 |
| Q6. After removing the autoinjector from the foam pad, was it easy for you to see if some drug remained inside? | Scale from 0 (fully disagree) to 10 (fully agree) | Phase 1 and 2 |
| Q7. It is useful for me to be able to check that the injected dose was complete | Phase 1 | |
| Assessment of patient’s willingness to adopt the device | ||
| Q8. Would you recommend somebody to use this autoinjector? | Scale from 0 (not at all probable) to 10 (fully probable) | Phase 2 |
| If you need to receive an injectable treatment: | ||
| Q9. Would you accept injections using a syringe performed by a nurse? | Scale from 0 (not at all probable) to 10 (fully probable) | Phase 2 |
| Q10. Would you accept injections with this autoinjector performed by a nurse? | ||
| Q11. Would you accept self-injection with a syringe? | ||
| Q12. Would you accept self-injection with this autoinjector? | ||
| ||
Abbreviation: Q, question