ANZICS CTG Surveys

Name *

First

Last

Email *

Institution *

Full study title *

Short study title

Chief Investigators - Please list all members and their affiliated institutions *

Target ANZICS CTG Participants (select all that apply)

If other, please specify

Survey Link

Date for distribution

Specific date

Survey reminders (Reminders are only sent for ANZICS CTG endorsed or supported studies)

Summary of email to be circulated (upload)

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Protocol Upload

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Survey Upload

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Ethics Approval

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ANZICS CTG SURVEY & EOI Distribution Requests