Displaying 1 - 50 of 192
| Form Code | Title | Version | Status | Form | Ancillary Study | Form Date Sort descending | QxQ | Code Book |
|---|---|---|---|---|---|---|---|---|
| ECA11 | ECA11 - Echocardiography alerts reporting form | 1.0 | Active | Echo | 06/01/2011 | |||
| ECA | ECA - Echocardiography Alerts Notification Form | 1.0 | Inactive | Echo | 06/01/2011 | |||
| NPI | NPI - Neuropsychiatric Inventory Questionnaire | 1.0 | Inactive | PET Clinic Visit | 06/01/2011 | |||
| SBP | SBP - Sitting Blood Pressure | 1.0 | Inactive | PET Clinic Visit | 06/01/2011 | |||
| AFT | AFT - Atrial Fibrillation Tracking Form | 1.0 | Inactive | Atrial Fibrillation | 02/24/2014 | |||
| FTF | FTF - Follow-Up Cancer Questionnaire Tracking Form | 1.0 | Active | Cancer Study | 10/13/2014 | |||
| CTF | CTF - AFU/sAFU Cancer Interview Tracking Form | 1.0 | Active | Cancer Study | 10/13/2014 | |||
| FCQ | FCQ - Follow-Up Cancer Questionnaire | 1.0 | Active | Cancer Study | 10/13/2014 | |||
| TMW | TMW - Two Minute Walk Form | 1.0 | Inactive | Echo | 06/15/2015 | |||
| PPS | PPS - Parkinson's Physician Survey | 1.0 | Inactive | Parkinson's Confirmation | 09/16/2015 | |||
| PDI | PDI - Parkinson's Disease Interview | 1.0 | Inactive | Parkinson's Confirmation | 11/09/2015 | |||
| NHX | NHX - Neurological History | 3.0 | Inactive | PET Clinic Visit | 11/11/2015 | ACH | ||
| PNF | PNF - Peripheral Neuropathy Form | 1.1 | Active | Diabetes | 04/01/2016 | |||
| FRC | FRC - Falls Risk Checklist | 1.0 | Inactive | Falls | 04/01/2016 | |||
| FCL | FCL - Falls Calendar and Instructions | 1.0 | Inactive | Falls | 04/01/2016 | |||
| DQF | DQF - Diabetes Questionnaire | 1.0 | Active | Diabetes | 04/01/2016 | |||
| FRM | FRM - Falls in Prior 6 Months, MD Recommendations, Fall Prevention, Vision | 1.0 | Inactive | Falls | 04/01/2016 | |||
| FES | FES - Falls Efficacy Scale | 1.0 | Inactive | Falls | 04/01/2016 | |||
| AMT | AMT - Activity Monitor Tracking Log and Experiences | 1.0 | Inactive | Falls | 04/01/2016 | |||
| FCF | FCF - Falls Calendar Feedback | 1.0 | Inactive | Falls | 04/01/2016 | |||
| SHQ | SHQ - Sleep Habits Questionnaire | 1.0 | Active | PET Sleep | 09/27/2016 | |||
| FCQ | FCQ - Follow-Up Cancer Questionnaire | 2.0 | Active | Cancer Study | 09/29/2016 | |||
| PWV | PWV - Pulse Wave Velocity/Ankle-Brachial Index Data Sheet | 1.0 | Inactive | PWV | 09/30/2016 | |||
| SVF | SVF - Sleep-PET Signal Verification Form | 1.0 | Active | PET Sleep | 10/19/2016 | |||
| MRE | MRE- MRI Recruitment and Eligibility Form | 2.0 | Active | ACHIEVE MRI PET Sleep | 11/14/2016 | |||
| SRF | SRF - Sleep PET Comprehensive Sleep Report Form | 1.0 | Active | PET Sleep | 11/15/2016 | |||
| PWM | PWM - Pulsewave Velocity Maintenance | 1.0 | Inactive | PWV | 11/29/2016 | |||
| CES | CES - Depression Form | 1.0 | Inactive | PET Clinic Visit | 12/06/2016 | |||
| SDR | SDR - Sleep Data Retrieval Form | 1.0 | Active | PET Sleep | 12/06/2016 | |||
| ZDX | ZDX - Ziopatch Reviewer Form | 1.0 | Active | Ziopatch | 12/15/2016 | |||
| GMC | GMC - Gut Microbiome Clinic Survey | 1.0 | Active | Microbiome | 01/31/2017 | |||
| GMH | GMH - Gut Microbiome - Home Survey | 1.0 | Active | Microbiome | 01/31/2017 | |||
| VMR | VMR - MRI Report Referral - Vascular | 1.0 | Active | MRI | 02/10/2017 | |||
| SDY | SDY - Sleep Diary | 1.0 | Active | PET Sleep | 02/20/2017 | |||
| ERA | ERA - EyeDOC Results and Alerts Reporting Form | 1.0 | Active | EyeDOC | 03/01/2017 | |||
| EVS | EVS - EyeDOC Vision Screening Form | 1.0 | Active | EyeDOC | 03/01/2017 | |||
| PHE | PHE - EyeDOC Phantom Form | 1.0 | Active | EyeDOC | 03/01/2017 | |||
| EOH | EOH - EyeDOC Ocular History Questionnaire Form | 1.0 | Active | EyeDOC | 03/01/2017 | |||
| ACHIEVE Biospecimen Shipping and Receiving Form | 1.1 | Active | ACHIEVE | 03/26/2017 | ||||
| ERR | ERR - EyeDOC Retinal Image Review | 1.0 | Active | EyeDOC | 04/03/2017 | |||
| ORP | ORP - EyeDOC OCT & Retinal Photo Form | 1.0 | Active | EyeDOC | 04/03/2017 | |||
| DTI | DTI - Dietary Intake Form | 1.0 | Active | Microbiome | 06/01/2017 | |||
| PAC | PAC - Physical Activity Form | 3.0 | Inactive | Echo | 08/18/2017 | |||
| CPC | CPC - CT Scan Procedure Completion Form | 1.0 | Active | CT Scan | 08/31/2017 | |||
| HVS | Hearing Vision Screening | 2.0 | Active | ACHIEVE | 09/18/2017 | ACH | ||
| SFHC | SF 26 Communication Partner | 1.0 | Active | ACHIEVE | 09/18/2017 | ACH | ||
| GAF | COSI Goals Achievement Form | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/18/2017 | ACH | ||
| ICR | Informed Consent | 1.0 | Active | ACHIEVE | 09/18/2017 | ACH | ||
| NHX | Neurological History | 3.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/18/2017 | |||
| ANT | Anthropometry | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/18/2017 | ACH |