DescriptionDateSize
I. Sample Visit Checklists, Version 2.0
Female and Male Enrollment Visit Checklist (GROUP 1) (Download) 2013-11-1828.16 KB
Female and Male Screening Visit Checklist (G1 and G2) (Download) 2013-11-1835.19 KB
Female Follow-up Visit Checklist (Group 1) (Download) 2013-11-1829.76 KB
MALE Follow-up Visit Checklist (Group 1) (Download) 2013-11-1827.84 KB
Pelvic Exam Checklist (Download) 2013-11-1825.6 KB
II. Sample Visit Checklists, Version 1.0
Female and Male Screening Visit Checklist (G1 and G2) (Download) 2012-08-1434.13 KB
Female and Male Enrollment Visit Checklist (GROUP 1) (Download) 2012-09-2425.49 KB
Female and Male Enrollment Visit Checklist (GROUP 2) (Download) 2012-09-2424.46 KB
Female Follow-up Visit Checklist (Group 1) (Download) 2012-09-2428.36 KB
Female Follow-up Visit Checklist (Group 2) (Download) 2012-09-2427.99 KB
Male Follow-up Visit Checklist (Group 1) (Download) 2012-09-2426.6 KB
Male Follow-up Visit Checklist (Group 2) (Download) 2012-09-2424.68 KB
Female and Male Final Visit Checklist (Group 2) (Download) 2012-08-1427.82 KB
Pelvic Exam Checklist (Download) 2013-02-2124.72 KB
Other Tools/Templates
Baseline Medical History Questions Sheet (Download) 2012-07-1622.71 KB
Baseline Questionnaire (Download) 2013-02-0438.33 KB
Contraceptive Worksheet (Download) 2012-08-0916.15 KB
Group 1 – Male Practices Questionnaire (Download) 2012-06-0617.49 KB
Group 2 – Male Practices Questionnaire (Download) 2012-06-0617.69 KB
Group 2 Home Dosing Log (Download) 2012-09-0721.74 KB
LDMS Specimen Tracking Sheet – FEMALE (Download) 2013-02-18124.4 KB
LDMS Specimen Tracking Sheet – MALE (Download) 2012-09-1977.34 KB
Men’s Acceptability Questionnaire (Download) 2013-02-2836.26 KB
Pre-existing Conditions Resolution Tracker (for male participants) (Download) 2012-07-1111.69 KB
Product Adherence Counseling Checklist – Enrollment (Download) 2012-08-0916.26 KB
Product Adherence Counseling Checklist – Follow-up (Download) 2012-08-0914.71 KB
Protocol Safety Review Team Query Form (Download) 2012-08-0923.1 KB
QxQ CASI Questionnaires (Download) 2012-09-2448.95 KB
Screening and Enrollment Informed Consent Comprehension Checklist for Men (Download) 2012-05-1146.5 KB
Screening and Enrollment Informed Consent Comprehension Checklist for Women (Download) 2012-05-1146.5 KB
Version 2 Eligibility Checklist – Men (Download) 2013-01-31285.03 KB
Version 2 Eligibility Checklist – Women (Download) 2013-01-31312.58 KB
Version 3 Eligibility Checklist – Men (Download) 2013-10-10383.91 KB
Version 3 Eligibility Checklist – Women (Download) 2013-10-10436.83 KB
Visit Calendar Tool (Download) 2013-01-2226.99 KB
Visit Calendar Tool (Protocol Version 2.0) (Download) 2013-12-0428.26 KB
Women’s Acceptability Questionnaire (Download) 2013-03-0237.44 KB
Regulatory/FD Documents
MTN-011 Financial Disclosure Form (Download) 2014-08-0721.74 KB
MTN-011 Financial Disclosure Form – Protocol Chair (Download) 2014-08-0721.97 KB