FEASIBILITY QUESTIONNAIRE
Short Study Title:
IRAS Project ID:
The objective of this review is to assess the feasibility of conducting the study at a research site by assessing the resources required(including number of participants who may be eligible and available finance).
Please complete and return this questionnaire to the Trial Manager or Chief Investigator.
- SITE INFORMATION
Site Name
Department
Type of institution / NHS site / Please Tick
Non NHS-site
Other
- PRINCIPAL INVESTIGATOR
Name
Contact details / Telephone
Yes / No / Comments
Are you or your team involved in any other CTIMPs? If so please state how many.
What % of your time do you currently devote to clinical research? / % of time
What % of your time would you devote to this study?
Have you acted as PI on a CTIMP in the past 5 years? / Yes / No / Comments
Did any of these trials involve participants with [ENTER CONDITION]?
Did you meet recruitment targets for your site?
If no, please state reasons why recruitment targets were not met:
- SUBJECT ENROLMENT
How many patients do you see in your department with [ENTER CONDITION] on an annual basis? / Number of patients / Comments
Based on the inclusion/exclusion criteria, how many patients would you expect to be able to enrol in 12 months?
Are you aware of any other clinical trials being conducted at present which may have a conflicting interest with this study?
What challenges/risks, if any, do you foresee with regards to participant recruitment and/or retention for this trial?
- FACILITIES AND RESOURCES
Will the site have a study co-ordinator and/or research nurse? How much time will they be able to delegate to the trial. / Yes / No / Comments
Is there a dedicated clinical trials pharmacist at site? / If yes please provide contact details:
Are there any additional approvals/review committees required for your site? / Yes / No / Comments
What challenges/risks, if any, do you foresee with regards to facilities and resources at your site for this trial i.e. please detail any reason the site cannot carry out any part of the study protocol?
General Comments
( If you have anything else to add which has not been covered by the questionnaire please do so here)
To the best of my knowledge the information contained in this questionnaire is correct.
Assessment completed by:
Print NameSignatureDate
[Title/Position]
Thank you for taking the time to complete this questionnaire.
CR007-T11 v2.0
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