Forms / Questionnaires and QxQ

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The forms on this page can be organized based on administrative, data collection, or annual follow-up documents. The table is also sortable by Form Title and all of the other headers.

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Form Title V1 V1 QxQ V2 V2 QxQ V3 V3 QxQ V4 V4 QxQ
PASOS Claudication Questionnaire – QxQ CLAE_QXQ.pdf
PASOS Device Mailer Informed Consent Tracking ICME_QXQ.pdf
PASOS Eligibility Checklist ELCB_QXQ.pdf
PASOS Non-Wear Log – QxQ NWLE_QXQ.pdf
PASOS Pulse Volume Recordings Ankle – QxQ PVRE_QXQ.pdf
PASOS Sleep Log – QxQ SLPE_QXQ.pdf
PASOS Waveform Arteries – QxQ WVAR_QXQ.pdf
Phone Elegibility and Enrollment Report Guide Phone_Eligibility_Enrollment_Report_Guide_20200715.pdf
Phone Eligibility Enrollment Report Guide Phone_Eligibility_Enrollment_Report_Guide_20200918.pdf
Recruitment Report Guide Recruitment_Report_Guide_20200203.pdf
San Diego CASAS CEL QxQ PDF
San Diego CASAS PAE/S QxQ PDF
SANAR Ambulatory Blood Pressure and Pulse – In Clinic (ABPP) ABPP_QXQ.pdf
SGM Coping and Support (CSE) CSE_QXQ.pdf
SGM Qualitative Interview Screener (QIE) QIE_QXQ.pdf
SGM Socially Ascribed Race (SRE) SRE_QXQ.pdf
SGM Stigma and Discrimination (SDE) SDE_QXQ.pdf
SGM Stress Experiences (ESE) ESE_QXQ.pdf
Sleep Questionnaire - Spanish (SLES) SLES_QXQ.pdf
SOL AIR ECHA QXQ ECHA_QXQ.pdf
SOL AIR EMQE QXQ EMQE_QXQ.pdf
SOL AIR EMQS QXQ EMQS_QXQ.pdf
SOL-INCA DLS QxQ DLS_QXQ.pdf
SOL NAFLD Asthma-Allergy Screening AAE
Ankle Arm Blood Pressure - ABP
Acculturation - ACE ACS ACE
AFU AFT_QXQ AFT
Alcohol Use - ALE ALS ALE/ALS ALE ALS
Anthropometry - ANT ANT ANT ANT ANT
FLOR Anthropometry ANTE
SANAR Urgent Alerts and Participant Report Tracking APRT
Anthropometry Quality Control - AQC AQC AQC AQC
Audiometry Examination - AUD
Biospecimen Collection - BIO BIO BIO BIO
INCA 2 BIQB – Brain Injury Screening Questionnaire Bilingual BIQB
INCA 2 BTWB - B-SEVLT Word Lists BTWB
CAC Initial Screening and Recruitment CAE
INCA 2 CDIB - Clinical Dementia Rating Informant Bilingual CDIB
INCA 2 CDPB - Clinical Dementia Rating Participant Bilingual CDPB
INCA 2 CDS - Clinical Dementia Rating Summary CDS
FLOR Child Eating Behavior CEBE
AFU Childhood Factors Questionnaire CFE
FLOR Child Feeding Habits CFHE
FLOR Caregiver’s Feeding Style CFSE
SOL INCA2 CGIE/CGIS - Everyday Cognition Informant English/Spanish CGIE
SOL-INCA CGS CGS
FLOR Child Care CHCE
Clinic Checklist - CHK CHK CHK CHK