IAEA-MGH survey Part 2 (Cumulative effective doses)
Sign in to Google to save your progress. Learn more
Your name *
Email *
Hospital with name of city *
Country *
1. Which dose tracking/management system is there in your hospital? *
2. Number of patients with cumulative effective dose (CED)≥ 100 mSv *
3. Time period of data for question 2, (month/yr to month/yr e.g. Jan 2017 to Dec 2018) *
4. Which modalities does this dose include
5. Do you have possibility to collect data for a defined period like Jan 2018 to Dec 2018 *
6. Will you like to be an author in the multi-national paper if your data is used. [You will need to share the data file for Qn. 2 after removing patient name, date of birth]
7. For the time period of data for question 2, what was the total number of patients included in the analyses?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy