Collaborator’s Project
Information Form
Requirements
Permission for use of the
OPPQNCS© scale is granted at no cost to those investigators willing to complete the Collaborator’s Form prior to including any OPPQNCS© measurement in a
project. This form asks investigators to document basic project
information such as methods of data collection and analysis, and the
subscale(s) to be used. PLEASE FILL OUT THIS FORM AND MAIL TO THE ADDRESS AT
THE BOTTOM OF THIS PAGE.
1.
Share
relevant components of results, particularly those which may further
reliability and validity testing.
2. Notify us of any related publications.
1. Personal Information
*REQUIRED
Principle Investigator Contact Person
(if different than P.I.)
First Name*
Last Name*
Degree*
Title*
Organization*
Address*
City/County*
State/Province*
Code
Country*
Telephone*
Fax
E-mail*
2. Institution (other)
3. A) Application (other)
B) Expected or Actual Start Date (mm/dd/yy)
C) Expected or Actual Stop Date (mm/dd/yy)
D) Total Expected or Actual Number of Patients
****************************************************************
To obtain usage
permission, please fill out this form and mail to:
Dr. Laurel Radwin, PhD, R.N., C.S.
Phone: 617-287-7572
University of Massachusetts
E-mail: Laurel.Radwin@umb.edu
College of Nursing and Health Sciences
Department of Nursing
100 Morrissey Boulevard
Boston, MA 02125-3393
All Pages Copyright © 2003 OPPQNCS. All Rights
Reserved.
Last modified: 07/17/2003
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