recruitment |
|
yesno |
Is/Has the participant being recruited to a trial or multi-centre study during the period of their current illness (including initiation in the community and hospital)? |
1, Yes ; 0, No |
study_1_name |
|
text |
If YES, specify name of study: |
|
study_1_id |
|
text |
Study Participant ID: |
|
study_2 |
|
yesno |
Add another study? |
1, Yes ; 0, No |
study_2_name |
|
text |
If YES, specify name of study: |
|
study_2_id |
|
text |
Study Participant ID: |
|
study_3 |
|
yesno |
Add another study? |
1, Yes ; 0, No |
study_3_name |
|
text |
If YES, specify name of study: |
|
study_3_id |
|
text |
Study Participant ID: |
|
study_participation_complete |
Form Status |
dropdown |
Study Participation section complete? |
0, Incomplete ; 1, Unverified ; 2, Complete |