Clinical Trial Feasibility Checklist Form
Evaluate if your site or study is ready and practical to run a clinical trial. Please complete the checklist below.
Site or Study Name
*
Primary Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Type or Phase of Study
*
Please Select
Phase I
Phase II
Phase III
Phase IV
Observational
Other
Does the site have adequate infrastructure and equipment for the study?
*
Yes
No
Unsure
Investigator and staff have relevant experience
*
Yes
No
Partial
Estimated number of eligible patients available
*
Regulatory/ethics approval status
*
Please Select
Approved
Pending
Not submitted
Estimated study start date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments or Notes
Submit Checklist
Should be Empty: