Forms / Questionnaires and QxQ - Administrative | Hispanic Community Health Study / Study of Latinos

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.

Form Title	Visit 1	V1 (Spanish)	V1 QxQ	Visit 2	V2 QxQ	Visit 3	V3 QxQ	Visit 4	Visit 4 (Spanish)	V4 QxQ
Additional Address -								ADDE	ADDS	ADDE
Alternate Respondent Information -	ARE		ARE
Clinic Checklist -	CHK			CHK	CHK	CHK	CHK
Demographics -							DEM
Drop Point Selection -	DPS
Eligibility Screening -	ELE		ELE	ELE	ELE	ELE	ELE
Enrollment Tracking -				ETF	ETF	ETF	ETF
Identifiers and Demographics -								IDME	IDMS	IDME
Informed Consent Tracking -	ICT			ICT	ICT	ICT	ICT
Informed Consent Update -	ICU
Minor Adverse Event Form -	MAE			MAE	MAE	MAE	MAE
Participant Contact Information -								PCIE	PCIS	PCIE
Participant Safety Screening -	PSE	PSS		PSE		PSE	PSE
Report Tracking -	RET		RET	RET	RET	RET	RET
Serious Adverse Event Form -	SAE			SAE	SAE	SAE	SAE
Screening Call Tracking -	SCT		SCT
Six Item Cognitive Screener Bilingual -				SIB	SIB	SIB	SIB
Study Withdrawal -						WTD	WTD
Unanticipated Problems -				UPR	UPR	UPR	UPR