diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
index 49e9df0d..8c4ac9f0 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
@@ -242,6 +242,7 @@ export default {
     async handleSubmit() {
       const valid = await this.$refs['questions'].validate()
       if (!valid) return
+      await this.handleSave(false)
       await verifyVisitTaskQuestions({ visitTaskId: this.visitTaskId })
       const { ImageAssessmentReportConfirmation } = const_.processSignature
       this.signCode = ImageAssessmentReportConfirmation
diff --git a/src/views/trials/trials-panel/reading/none-dicoms/components/ECRF.vue b/src/views/trials/trials-panel/reading/none-dicoms/components/ECRF.vue
index 8331cdd3..e5226c8f 100644
--- a/src/views/trials/trials-panel/reading/none-dicoms/components/ECRF.vue
+++ b/src/views/trials/trials-panel/reading/none-dicoms/components/ECRF.vue
@@ -285,6 +285,7 @@ export default {
     async handleSubmit() {
       const valid = await this.$refs['questions'].validate()
       if (!valid) return
+      await this.handleSave()
       const { ImageAssessmentReportConfirmation } = const_.processSignature
       this.signCode = ImageAssessmentReportConfirmation
       this.signVisible = true
diff --git a/src/views/trials/trials-panel/reading/visit-review/components/EcrfList.vue b/src/views/trials/trials-panel/reading/visit-review/components/EcrfList.vue
index 2f133cb3..f949eb0d 100644
--- a/src/views/trials/trials-panel/reading/visit-review/components/EcrfList.vue
+++ b/src/views/trials/trials-panel/reading/visit-review/components/EcrfList.vue
@@ -215,6 +215,7 @@ export default {
     async handleSubmit() {
       const valid = await this.$refs['questions'].validate()
       if (!valid) return
+      await this.handleSave(false)
       await verifyVisitTaskQuestions({ visitTaskId: this.visitTaskId })
       const { ImageAssessmentReportConfirmation } = const_.processSignature
       this.signCode = ImageAssessmentReportConfirmation