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CASSIUS Survey: Collaborator sign-up
Please complete the form to register your unit for the CASSIUS Survey.
BEFORE registering please ensure that:
1. You have read the collaborator information sheet, available here:
https://drive.google.com/file/d/1XkfcYRBIeMjFl2PLeK-lvL1HcgaKeZaJ/view?usp=sharing
2. Your departmental lead has approved taking part.
Contact us:
- Email:
cassius.study@gmail.com
- Collaborator WhatsApp Group:
https://chat.whatsapp.com/H6HCjIbnb4u95ixCo1Xn7r
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* Indicates required question
Your username
*
We will need to create a REDCap account for you. Please enter your first initial and surname as the username below. e.g. 'jbloggs'. If you already have a REDCap account, please enter your existing username.
Your answer
Your first name
*
Enter your first name only.
Your answer
Your last name
*
Enter your last name only
Your answer
Your email address
*
Important: we recommend you use a personal email address to avoid NHS servers blocking REDcap emails.
Your answer
Your hospital
*
Your answer
Type of department
*
Please be aware that only data collectors from Burns units and centres will be eligible for PubMed cited authorship for CASSIUS. Data collectors from Burns facilities will be eligible for acknowledgement only.
Burns facility
Burns unit
Burns centre
Your position
*
Consultant or equivalent
Trainee or equivalent
Medical student
Nurse
Other
I confirm the departmental lead has approved distribution of the CASSIUS survey.
*
I agree
Required
Local Principal Investigator
Please enter the details of a Consultant/SAS supervisor. You must obtain their permission beforehand. The local PI will oversee the delivery of the survey and encourage departmental participation.
PI first name
*
Your answer
PI last name
*
Your answer
PI email address
*
We recommend you use a personal email address to avoid NHS servers blocking REDcap emails.
Your answer
I confirm that I have read the collaborator information sheet
*
I agree
Required
Data protection statement
*
We will store your name and email address for the purpose of contacting you about the CASSIUS Study only. Your data will not be shared or used for another purpose. At the end of the study your details will be erased. You can withdraw at any point by emailing
cassius.study@gmail.com
I agree
Required
Would you be happy to be contacted by the RSTN in the future (e.g., about new collaborative project launches)?
*
Yes
No
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