Questionnaires

Enrolled participants are asked to reply to a brief health questionnaire from the Clinical Coordinating Center at Brigham and Women's Hospital in Boston, Massachusetts, every 6 months. To view the questionnaires that you will be receiving, please click on the links below.

• Follow-Up Questionnaire
• Brief Follow-Up Questionnaire

If you have lost or misplaced your questionnaire, please either call our main study line at (877) 718-8003 to complete over the phone, or print the above follow-up questionnaire and return it to us at:

PRE-DETERMINE Study
Clinical Coordinating Center
Brigham and Women's Hospital
900 Commonwealth Avenue, Floor 3
Boston, MA 02215

If you are mailing the follow-up questionnaire, please remember to return both pages for processing purposes. In addition, if your contact information has changed, please be sure to include the new information on the back/second page of the follow-up questionnaire. Since this is a long-term observational follow-up study, it is very important that we maintain regular contact with you. It is common that participants often move and forget to notify us of their new address. Therefore, we will use your personal contacts to reconnect with you. As a reminder, please be sure to inform your contacts that you are enrolled in the PRE-DETERMINE Study so they are aware that we may need to contact them in the future.

If you need any assistance, please feel free to contact us at any time at (877) 718-8003, or predetermine@research.bwh.harvard.edu