FHSS Clinical Trials Unit - Request Form
Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.

FHSS Clinical Trials Unit - Request Form

Clinical Trials Unit
(This question is mandatory)

1. What is/are your research question(s)?

Please briefly describe the key research question(s) your study aims to address (within 100 words).

 

(This question is mandatory)

2. What expertise do you need to consult?

Select all that apply to your current needs. 

Please supplement in the text boxes provided, but this will be optional.

(This question is mandatory)

3. Please briefly describe your question(s) for the consultant (within 100 words):

4. Trial design details

Please provide additional details about your proposed trial:

a. Target Population

Whom is the study intended for (e.g., age group, condition, setting)? (within 100 words)

 

(This question is mandatory)

4. Trial design details

Please provide additional details about your proposed trial:

b. Randomization

Is your study randomized?

(This question is mandatory)

4. Trial design details

Please provide additional details about your proposed trial:

c. Intervention(s)

Briefly describe the intervention(s) being tested. (within 100 words)

(This question is mandatory)

5. Is this a new research grant application?

6. If your answer for the previous question is 'No', please upload the reviewers' comments from previous submissions.

 Upload file
(This question is mandatory)

7. Please provide your name, department/school and email address.

We will contact you further after reviewing your request.

 
Close