|
Phantom Form |
 PHT |
|
|
PHT |
|
PHT |
PHT |
|
PHT |
|
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Physical Activity |
PAE |
PAS |
PAE |
|
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|
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Report Tracking |
RET |
|
RET |
RET |
|
RET |
RET |
|
RET |
|
|
Claudication |
CLE |
CLS |
CLE |
|
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|
|
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|
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Respiratory |
RSE |
RSS |
RS |
|
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|
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Sitting Blood Pressure |
SBP |
|
|
SBP |
|
SBP |
SBP |
|
SBP |
|
|
Dietary Behavior |
DBE |
DBS |
DBE |
|
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|
|
|
|
|
|
Sleep |
SLE |
SLS |
SLE |
|
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|
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|
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|
Audiometry Examination |
AUD |
|
|
|
|
|
|
|
|
|
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Economic |
ECE |
ECS |
ECE |
|
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|
|
|
|
|
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Social Network Index |
SNE |
SNS |
SNE |
|
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Anthropometry Quality Control |
|
|
|
AQC |
|
AQC |
AQC |
|
AQC |
|
|
Otoscopy |
OTO |
|
|
|
|
|
|
|
|
|
|
Health Care Use Vers B |
HCEB |
HCSB |
HCEB |
|
|
|
|
|
|
|
|
Sociocultural |
SCE |
SCS |
SCE |
|
|
|
|
|
|
|
|
Enrollment Tracking |
|
|
|
ETF |
|
ETF |
ETF |
|
ETF |
|
|
Tympanometry |
TYM |
|
|
|
|
|
|
|
|
|
|
Cognitive Screening |
|
|
|
SIB |
|
SIB |
SIB |
|
SIB |
|
|
Drop Point Selection |
DPS |
|
|
|
|
|
|
|
|
|
|
Hearing Exam |
HEE |
HES |
HEE |
|
|
|
|
|
|
|
|
Weight History |
WHE |
WHS |
WHE |
|
|
|
|
|
|
|
|
Unanticipated Problem Reporting Form |
|
|
|
UPR |
|
UPR |
UPR |
|
UPR |
|
|
Eligibility Screening |
ELE |
|
ELE |
ELE |
|
ELE |
ELE |
|
ELE |
|
|
Hearing History |
HHE |
HHS |
HHE |
|
|
|
|
|
|
|
|
Household Screen and Roster Vers A |
HSRA |
|
HSRA |
|
|
|
|
|
|
|
|
Household Screen and Roster Vers B |
HSRB |
|
HSRB |
|
|
|
|
|
|
|
|
Screening Call Tracking |
SCT |
|
SCT |
|
|
|
|
|
|
|
|
Neurocognitive Assessment |
NEE |
NES |
|
|
|
|
|
|
|
|
|
Minor Adverse Event Form |
MAE |
|
|
MAE |
|
MAE |
MAE |
|
MAE |
|
|
Neurocognitive Assessment Template for Scoring DSS |
NEE |
|
|
|
|
|
|
|
|
|
|
Ankle Arm Blood Pressure |
ABP |
|
|
|
|
|
|
|
|
|
|
Serious Adverse Event Form |
SAE |
|
|
SAE |
|
SAE |
SAE |
|
SAE |
|
|
Occupation |
OCE |
OCS |
OCE |
|
|
|
|
|
|
|
|
Anthropometry |
ANT |
|
|
ANT |
|
ANT |
ANT |
|
ANT |
|
|
Informed Consent Tracking |
ICT |
|
|
ICT |
|
ICT |
ICT |
|
ICT |
|
|
Oral Health |
OHE |
OHS |
OHE |
|
|
|
|
|
|
|
|
Biospecimen Collection Form |
BIO |
|
BIO |
BIO |
|
BIO |
BIO |
|
BIO |
|
|
Informed Consent Update |
ICU |
|
|
|
|
|
|
|
|
|
|
Clinic Checklist |
CHK |
|
CHK |
CHK |
|
CHK |
CHK |
|
CHK |
|
|
Participant Safety Screening |
PSE |
PSS |
|
PSE |
|
|
PSE |
|
PSE |
|
|
Personal Information |
PIE |
PIS |
PIE |
|
|
|
|
|
|
|
|
Informed Consent Video Narrative (script) |
|
|
|
PDF |
PDF |
|
|
|
|
|
|
Acculturation |
|
|
|
ACE |
ACS |
ACE |
|
|
|
|
|
Alcohol Use |
ALE |
ALS |
ALE |
ALE |
ALS |
ALE |
|
|
|
|
|
Tobacco Use |
TBE |
TBS |
TBE |
TBE |
TBS |
TBE |
TBE |
TBS |
TBE |
TBE AS |
|
Well-Being |
WBE |
WBS |
WBE |
WBE |
WBS |
WBE |
|
|
|
|
|
Participant Disability Screen |
|
|
|
PDE |
PDS |
PDE |
PDE |
PDS |
PDE |
|
|
Chronic Stress |
|
|
|
STE |
STS |
STE |
|
|
|
|
|
Participant Feedback |
|
|
|
PFE |
PFS |
PFE |
|
|
|
|
|
Family Cohesion |
|
|
|
FCE |
FCS |
FCE |
|
|
|
|
|
Medical History |
MHE |
MHS |
MHE |
MHE |
MHS |
MHE |
MHE |
MHS |
MHE |
MHE AS |
|
Personal Identifiers |
IDE |
IDS |
IDE |
IDE |
IDS |
IDE |
IDE |
IDS |
IDE |
IDE AS |
|
Health Care Use Vers A/1 |
HCEA |
HCSA |
|
HCE |
HCS |
HCE |
HCE |
HCS |
HCE |
HCE AS |
|
Socioeconomic Status/Occupation |
|
|
|
SEE |
SES |
SEE |
SEE |
SES |
SEE |
SEE AS |
|
Medication Use |
MUE |
MUS |
MUE |
MUE |
MUE |
MUE |
MUE |
MUS |
MUE |
MUE AS |
|
Pregnancy Complications |
|
|
|
PCE |
PCS |
PCE |
|
|
|
|
|
Social Support |
|
|
|
SSE |
SSS |
SSE |
|
|
|
|
|
Informed Consent Template |
|
|
|
 DOCX |
DOCX |
|
|
|
|
|
|
Reproductive and Medical History |
|
|
|
RME |
RMS |
RME |
RME |
RMS |
RME |
RME AS |
