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Form F: Feasibility questionnaire (pilot study only). Estimated person-days spent to collect hospital-based data (form H, in days ):. Estimated person-days spent to collect CDI case-based surveillance data (form C , in days ):.
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Form F: Feasibility questionnaire (pilot study only) Estimatedperson-daysspenttocollecthospital-baseddata (form H, in days): Estimated person-days spent to collect CDI case-based surveillance data (form C, in days): Estimated additional person-days spent to collect epidemiological data for the enhanced protocol (form E, in days): Estimated additional person-days spent to collect microbiological data for the enhanced protocol, including lab analyses in your hospital and shipping of samples (in days) : How would you assess the level of difficulty encountered during the completion of: Easy Quite easy Neutral Quite difficult Very difficult Not applicable 1. Hospital-baseddata (form H) 2. Case-baseddata (form C): 3. Enhanced epidata (form E): 4. Enhanced microbiologicaldata (form M): Comments on feasibility of data collection: Form Version 0.1
