Raynaud's Treatment Study Data Collection Forms
Index of Forms
Record
Format
1) Biofeedback audiotape review
PDF
2) Patient review
PDF
3) Self efficacy
PDF
4) Self efficacy (medication)
PDF
5) Close out
PDF
6) Patient screening
PDF
7) Screening
PDF
Medical evaluation
PDF
9) Non-randomization report
PDF
10) Pre-Nielson test information
PDF
11) Quality of life
PDF
12) Treatment assessment
PDF
13) Treatment assessment biofeedback
PDF
14) Raynaud's attack booklet
PDF
15) Core Lab specimen
PDF
16) Health self report
PDF
17) Clinical monitoring
PDF
18) Interim follow-up
PDF
19) Quality of life follow-up
PDF
20) Missed visit
PDF
21) Drug restart
PDF
22) Medication compliance
PDF
23) Baseline vital signs
PDF
24) Drug distribution
PDF
25) Inactive patient
PDF
26) Treatment restart
PDF
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