Clinical Trial Feasibility Checklist

Clinical Trial Feasibility Checklist
Please complete this checklist to help assess your site's readiness for participation in a clinical trial.
Site Name
Principal Investigator Full Name
First NameLast Name
Contact Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Site Location (Address)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code

Please rate the following aspects of your site relevant to clinical trial participation.

Rows	Excellent	Good	Fair	Poor
Patient recruitment potential
Experience with similar clinical trials
Availability of required equipment
Availability of trained staff
Experience with regulatory submissions

Estimated number of eligible patients available for the study
Does your site have prior experience in conducting clinical trials?
What therapeutic areas has your site previously conducted trials in? (Select all that apply)
Other
Does your site have access to a dedicated clinical research coordinator?
Estimated start-up timeline if selected for participation (weeks)
Please provide any additional comments or considerations regarding your site's feasibility for this clinical trial.
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