Your worksheet

Will the

No public title specified.

study suit me?

To complete this worksheet you can:

Print this page. You then should circle the response that most applies to you. This will help you decide if you are leaning towards or away from participating in this clinical trial; OR
Click on the radio buttons. When you have answered all the questions, consider how important the benefits and risks are to you, help provide an indication if you are either leaning towards or away from participating in this clinical trial. This may not reflect your final decision, but may help in you to think this through.

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Benefits of the study

	No Benefit	Small Benefit	Big Benefit
This may help future generations of people.	No BenefitThis may help future generations of people. No Benefit	Small BenefitThis may help future generations of people. Small Benefit	Big BenefitThis may help future generations of people. Big Benefit
I will get excellent care on trial.	No BenefitI will get excellent care on trial. No Benefit	Small BenefitI will get excellent care on trial. Small Benefit	Big BenefitI will get excellent care on trial. Big Benefit
I might get access to a new and better treatment.	No BenefitI might get access to a new and better treatment. No Benefit	Small BenefitI might get access to a new and better treatment. Small Benefit	Big BenefitI might get access to a new and better treatment. Big Benefit

Add your own benefit

No Benefit	Small Benefit	Big Benefit
No BenefitThis may help future generations of people. No Benefit	Small BenefitThis may help future generations of people. Small Benefit	Big BenefitThis may help future generations of people. Big Benefit

Risks of study

	No Concern	Small Concern	Big Concern
I may get treatment that has not previously been tested.	No ConcernI may get treatment that has not previously been tested. No Concern	Small ConcernI may get treatment that has not previously been tested. Small Concern	Big ConcernI may get treatment that has not previously been tested. Big Concern
I may not know which treatment I’m getting.	No ConcernI may not know which treatment I’m getting. No Concern	Small ConcernI may not know which treatment I’m getting. Small Concern	Big ConcernI may not know which treatment I’m getting. Big Concern
I may get side effects from the treatment that I get in the trial.	No ConcernI may get side effects from the treatment that I get in the trial. No Concern	Small ConcernI may get side effects from the treatment that I get in the trial. Small Concern	Big ConcernI may get side effects from the treatment that I get in the trial. Big Concern

own leaning nominated

Add your own risk.

No Concern	Small Concern	Big Concern
No ConcernI may get treatment that has not previously been tested. No Concern	Small ConcernI may get treatment that has not previously been tested. Small Concern	Big ConcernI may get treatment that has not previously been tested. Big Concern

Not at all Likely Extremely Likely
0	1	2	3	4	5	6	7	8	9	10