Study Materials

Below you will find the latest versions of the study documents. If you would like to see any older versions of any of the documents below, please contact the study team.

 

Head & Neck 5000 Follow-up Study

Protocol

Patient Information Leaflet

Data Capture Form

Data Capture Form Guidelines

Questionnaire

 

Head & Neck 5000

Protocol

Patient Information Sheet

Inclusion & Exclusion Criteria

Data capture form completion guidelines
Consent Form 

Baseline Data Capture Form 

Baseline questionnaire

Baseline about you questionnaire 

Sexual history questionnaire

Baseline questionnaire (Bristol) 

Four month data capture form

Four month follow up questionnaire

Four month follow up questionnaire (Bristol)

Twelve month data capture form

Twelve month follow up questionnaires

Twelve month follow up questionnaires (Bristol)

Twelve month follow up toxicity scale    

Mortality form