Displaying 101 - 150 of 192
| Form Code | Title | Version | Status | Form | Ancillary Study | Form Date Sort ascending | QxQ | Code Book |
|---|---|---|---|---|---|---|---|---|
| TSF | Telephone Screening | 2.0 | Inactive | ACHIEVE | 06/12/2019 | ACH | ||
| Suicidal Ideation Notelog | Active | ACHIEVE | 04/30/2019 | |||||
| ICHI | International Outcome Inventory for Comprehensive Intervention (IOI-CHI) | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 04/23/2019 | ACH | ||
| ISO | InternaOutcome Inventory for Hearing Aids – Significant Other (IOIHA-SO) | 1.0 | Inactive | ACHIEVE | 04/17/2019 | ACH | ||
| RWP | Reconsent with Proxy Form | 1.0 | Inactive | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 02/06/2019 | ACH | ||
| Protocol Deviation Form | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 02/06/2019 | ||||
| MPC | MPC- MRI Procedure Completion Form | 2.0 | Active | ACHIEVE MRI | 09/01/2018 | ACH | ||
| MAR | MAR- Results and Alert Reporting Form | 1.0 | Active | ACHIEVE MRI | 09/01/2018 | |||
| BMR | BMR- MRI Report Referral- Brain | 2.0 | Active | ACHIEVE MRI | 09/01/2018 | ACH | ||
| ZIO | ZIO - Self Reported Arrhythmia Questionnaire | 2.0 | Active | Ziopatch | 03/26/2018 | |||
| SBP | Sitting Blood Pressure | 1.0 | Active | ACHIEVE PET Clinic Visit ACHIEVE-BHFU ACHIEVE-HIFU | 03/05/2018 | ACH | ||
| ADI | Additional De Novo Information | 2.0 | Inactive | ACHIEVE | 02/12/2018 | ACH | ||
| Participant Expectations Form (non-CDART) | Active | ACHIEVE | 02/07/2018 | |||||
| CPS | CPS - Preference Survey | 1.0 | Active | CT Scan | 01/29/2018 | |||
| CTR | CTR - CT Scan Reporting and Alerts Form | 1.0 | Active | CT Scan | 12/01/2017 | |||
| FAM | Falls and Mobility | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 11/16/2017 | ACH | ||
| AAR | ACHIEVE Alert and Results Reporting Form | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 11/08/2017 | |||
| OIT | Observation of Interviewing Technique | 1.0 | Inactive | ACHIEVE | 10/27/2017 | |||
| RSF | Recruitment and Scheduling Form | 1.0 | Inactive | ACHIEVE | 10/23/2017 | ACH | ||
| HEX | Hearing and Noise Exposure | 1.0 | Active | ACHIEVE | 10/18/2017 | ACH | ||
| Imaging Studies Recruitment Script A | Inactive | PET PET Sleep MRI | 10/13/2017 | |||||
| Imaging Studies Recruitment Script E | Inactive | PET PET Sleep MRI | 10/13/2017 | |||||
| Imaging Studies Recruitment Script F | Inactive | PET PET Sleep MRI | 10/13/2017 | |||||
| RAN | Randomization Form | 1.0 | Inactive | ACHIEVE | 10/13/2017 | |||
| Imaging Studies Recruitment Script C | Inactive | PET PET Sleep MRI | 10/13/2017 | |||||
| Imaging Studies Recruitment Script D | Inactive | PET PET Sleep MRI | 10/13/2017 | |||||
| Imaging Studies Recruitment Script B | Inactive | PET PET Sleep MRI | 10/13/2017 | |||||
| AER | Adverse Events Form | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 10/06/2017 | ACH | ||
| PHA | Phantom Form | 1.0 | Inactive | ACHIEVE | 09/26/2017 | |||
| DEMC | Demographics-Communication Partner | 1.0 | Inactive | ACHIEVE | 09/26/2017 | ACH | ||
| COSI | COSI Baseline | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/26/2017 | |||
| WRAT | Wide Range Achievement Test | 1.0 | Inactive | ACHIEVE | 09/26/2017 | ACH | ||
| HHI | Hearing Handicap Inventory for Elderly | 2.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/23/2017 | ACH | ||
| CES | CES Depression | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/18/2017 | ACH | ||
| IFF | Intervention Feedback | 1.0 | Inactive | ACHIEVE | 09/18/2017 | ACH | ||
| NPI | Neuropsychiatric Inventory Questionnaire | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/18/2017 | ACH | ||
| UPR | Unanticipated Problem | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/18/2017 | |||
| BIA | Biospecimen Collection | 1.0 | Inactive | ACHIEVE | 09/18/2017 | |||
| SFH | SF 36 Health Survey | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/18/2017 | ACH | ||
| SNI | Social Network Index | 1.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/18/2017 | ACH | ||
| HVS | Hearing Vision Screening | 2.0 | Inactive | ACHIEVE | 09/18/2017 | ACH | ||
| SFHC | SF 26 Communication Partner | 1.0 | Inactive | 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 | Inactive | 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 | ||
| DCF | NCS Diagnostic Classification | 2.0 | Active | ACHIEVE-BHFU ACHIEVE-HIFU ACHIEVE | 09/18/2017 | |||
| PAC | Physical Activity | 2.0 | Active | ACHIEVE ACHIEVE-BHFU ACHIEVE-HIFU | 09/18/2017 | ACH | ||
| CPC | CPC - CT Scan Procedure Completion Form | 1.0 | Active | CT Scan | 08/31/2017 | |||
| PAC | PAC - Physical Activity Form | 3.0 | Inactive | Echo | 08/18/2017 |