QBSP Homepage
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CONTACT INFORMATION
First Name:
College/Affiliation:
Last Name:
Department:
Phone:
Division:
Email:
Title:
PROJECT INFORMATION
Title/Topic:
Sponsor:
Status:
Select from below
Active
Complete
Please check here if the Principal Investigator is the same as the Contact above. If not, please complete PI information.
PI First Name:
College/Affiliation:
PI Last Name:
Department:
Phone:
Division:
Email:
Title:
Please check here if the PI is affiliated with the Cancer Center.
Type of Study:
Select from below
Clinical Trial, Phase I
Clinical Trial, Phase II-III
Diagnostic Test Study
Pharmacokentics Study
Other Observational Study(case-control, cohort, ect.)
Other/Unsure
State of Project:
Select from below
Planning Study
Applying for funding
Implement funded study
Analyzing data that has already been collected
Responding to reviews
Other/Unsure
Design Assistance Requested:
Select from below
Sampling strategy, selection of controls
Design of survey instruments
Measurement, quality control
Randomization and blinding schemes
Data monitoring plan
Choosing type of study(case, trial, etc.)
No Design Assistance Needed
Other/Unsure
Biostatistics Services Requested:
Select from below
Choosing statistical methods
Modeling
Interpreting results
Responding to reviews
Sample size planning
Other statistical analyses
Funding Source:
Select from below
NIH
Foundation
Departmental/Institutional
Pharma - Investigator Initiated
Pharma Sponsored
Unfunded
Other
Anticipated Level of Assistance:
Select from below
Simple advice (probably single session)
Complex advice (probably multiple sessions)
Perform statistical analysis
Assist with writing
Looking for con-investigator
Other/Unsure
QBSP Faculty/Staff:
Select from below
Dan Albert
Craig Beam
Weihua Gao
Hui Xie
Weimin Liang
Other/Unsure
Date
Description
COMMENTS:
FOR QBSP USE:
Client Number:
Project Number:
Assign to:
Select from below
Dan Albert
Craig Beam
Weihua Gao
Hui Xie
Weimin Liang
Hour Rate($):
Number of Hours:
