Recent innovations in technology and information flow have created a population of patients that is active in, and has high expectations of, their healthcare and treatment choices. This shift in the marketplace requires that key stakeholders in the clinical trial process understand the perceptions and motivations of their newly empowered customers. It is to aid this understanding that the Avoca Quality Consortium (AQC) commissioned a patient survey as part of its ongoing commitment to transform clinical trials. The overarching objective of the survey was to identify actions that pharmaceutical companies, CROs, and study teams might take to positively influence clinical trial participation and impressions of the clinical trial experience, and to increase the relevance of clinical trial results to patients….