ࡱ>  bjbjR|R| 00Q) jjj~~~8\,~7>TLh-h-h-47676767676767$:U=Z7jh-*h-h-h-Z7o7///h-j8j47/h-47//:4,R5p  -R4 77074R!>$.!>5!>j5h-h-/h-h-h-h-h-Z7Z7/h-h-h-7h-h-h-h-!>h-h-h-h-h-h-h-h-h- : TO BE PRINTED ON LOCAL TRUST HEADED PAPER  PATIENT (16-18YRS) TRIAL EVALUATION QUESTIONNAIRE Trial Title Eculizumab in Shiga-toxin producing E.Coli Haemolytic Uraemic Syndrome (ECUSTEC): A Randomised, Double-Blind, Placebo-Controlled Trial The ECUSTEC trial team would like to sincerely thank you for your participation. If you wish to, please use this form to feedback your experience of participating in the trial. On reflection, do you think that you were given sufficient information to allow you to make an informed choice about entering the trial? Yes ( No ( Not sure ( If you answered no or not sure, what further information do you think should have been given to you?    Were there any aspects of participating in the trial that made your experience of being ill with STEC HUS better in any way? Yes ( No ( Not sure ( If you answered yes, please let us know what these were    Were there aspects of participating in the trial that made your experience of being ill with STEC HUS worse in any way? Yes ( No ( Not sure ( If you answered yes, please let us know what these were    Is there anything you would like to feedback to us about your experience of participating in the ECUSTEC trial?    Please continue below if more space is required and remember that you can contact the Chief Investigator Dr Sally Johnson (Telephone 0191 282 4917), your local Principle Investigator (, Telephone ) or the ECUSTEC trial co-ordinating centre at the Birmingham Clinical Trials Unit, College of Medical & Dental Sciences, Institute of Applied Heath Research, University 鶹ѡ, Edgbaston, Birmingham B15 2TT. Tel 0121 415 9132, Fax: 0121 415 9135, Web address:  HYPERLINK "http://www.birmingham.ac.uk/ECUSTEC" www.birmingham.ac.uk/ECUSTEC for further information.          When completed please hand this questionnaire back to a member of the ECUSTEC research team at your hospital so as they can return it to the co-ordinating centre at the Birmingham Clinical Trials Unit Thank you for taking the time to complete this evaluation questionnaire.     ECUSTEC Patient 16-18 Years Evaluation Questionnaire, Version 1.0, 7th September 2016 EudraCT: 2016-000997-39 Page  PAGE 2 of  NUMPAGES 2 CONFIDENTIAL ONCE COMPLETED ECUSTEC Patient 16-18 Years Evaluation Questionnaire, Version 1.0, 7th September 2016 EudraCT: 2016-000997-39 Page  PAGE 1 of  NUMPAGES 2 ECUSTEC Trial No.: iXi iXi iXi iXi iXi *+.1245HNOgioO ` ɯ~g~P~~PA2AhG/CJOJQJ]^JaJhJCJOJQJ]^JaJ,h;[5CJOJQJ^JaJmH nH tH u,hw "5CJOJQJ^JaJmH nH tH u2h;[h;[5CJOJQJ^JaJmH nH tH u,h9/5CJOJQJ^JaJmH nH tH u2h;[h9/5CJOJQJ^JaJmH nH tH u+h;[h9/CJOJQJ^JaJmH nH u. *hfb:h9/CJOJQJ^JaJmH nH ujh9/U+,-./013456hiv ; < C I gd$gd;[$a$gd;[$a$gd;[$a$gd9/ $7$8$H$a$gd9/  & / 8 : ; < ? 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