QPRO Service Request | Wake Forest University School of Medicine

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Wake Forest University School of Medicine
Research
Institutes and Centers
Comprehensive Cancer Center
Shared Resources
Qualitative and Patient-Reported Outcomes Shared Resource
QPRO Service Request

If you are interested in utilizing the services of the Q-PRO Shared Resource, please complete the Service Request Form below. Please reach out at least 2 months before any requested work would begin. For grant proposals, please reach out at least 3 weeks prior to submission.

Note: Please use either Chrome or Edge as your browser when completing this form. The form will not work correctly with Firefox.

Full Name Department Phone Number Email Address

Is the study PI a Cancer Center member? No Yes - CGM Member Yes - CPC Member Yes - NRO Member Yes - SBT Member

Is the project cancer-focused? No Yes

Project Title:

Which of the services are you requesting? Patient-Reported Outcomes Consultation Qualitative Research Consultation

Are the services for: Funded Project Grant Proposal Preparation Manuscript Preparation

If submitting a grant, what is the grant due date? What is the anticipated start date of Q-PRO services?

Funding Source/Anticipated Funding Source: Extramural (non-NIH) Intramural NCI NIH (excludes NCI) Other

Is the project funded? No Yes, extramural funding Yes, internal funding

Additional Notes:

Return to Qualitative and Patient Reported Outcomes

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