All fields marked with an asterisk * have to be completed.
General information
1. Applicant
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2. Type of work *
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3. Third-party funding *
Status:
Status:
Status:
4. Collaboration with the Clinical Trials Unit (ZKS) at the University Medical Center Freiburg? *
5. Do you conduct Health Services Research and need special support? *
Project-specific information
6. Working title (of the project or thesis) *
7. Status of the project *
8. Brief description of the medical objectives/indications *
12. Type of study * Help
Multiple answers possible:
13. Information about the study design * Help
Multiple answers possible:
14. Observation units *
15. Is a total sample size planning done? * Help
16. Has a study protocol been completed? Help
17. Has the data collection form been completed? Help
18. Has data already been collected?
19. Has the research project/study been submitted to any ethics committees or government agencies?
Ethics committee:
Regierunspräsidium Freiburg (Regional council of Freiburg):
(Permission for animal experiments)
Purpose
Purpose / Questions to the consultant *
Notes / Comments
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