Back to top
DescriptionDateSize
Ages and Stages Questionnaires
ASQ 2 Month (Download) 2019-11-04329.74 KB
ASQ 3 - Activities for Infants 1-16 Months (Download) 2019-11-22125.4 KB
ASQ 3 - Overall Questions (Download) 2019-11-2260.94 KB
ASQ 4 Month (Download) 2019-11-04336.19 KB
ASQ 6 Month (Download) 2019-11-04389.36 KB
Counseling
Contraceptive Counseling Worksheet (Download) 2019-10-1853 KB
HIV Pre/Post Test & STI Risk Reduction Counseling Worksheet (Download) 2019-10-1859.5 KB
MTN-042 and MTN-043 Counseling Manual (Download) 2019-10-09244.65 KB
Protocol Counseling Guide (Download) 2020-01-2226.63 KB
Sample Product Use Adherence Counseling Worksheet (Download) 2020-01-2258 KB
Eligibility Tools
Eligibility Checklist (Download) 2020-06-12383.07 KB
Enrollment Behavioral Eligibility Worksheet (Download) 2019-09-20205.77 KB
Sample Informed Consent Comprehension Assessment (ICCA) (Download) 2019-09-1936.42 KB
Sample Informed Consent Coversheet (Download) 2020-08-1935.51 KB
Screening and Enrollment Log (Download) 2020-06-1235.73 KB
Screening Behavioral Eligibility Worksheet (Download) 2019-09-20216.91 KB
Lab/Sample Collection
AVERY L7656 Labels or Equivalent (for A4 paper) (Download) 2020-01-28282.5 KB
MTN Laboratory Center HIV Testing Notification & Query Form (Download) 2016-04-1326.82 KB
Procedure Guide for HIV Confirmation and Seroconversion (Download) 2020-04-21274.21 KB
Specimen Label Template Implementation Requirements, Installation, and Use (Download) 2020-01-28468.17 KB
Visit LDMS Specimen Tracking Sheet (Download) 2021-01-1873.64 KB
Other Tools/Templates
Visit Calendar Tool (Download) 2020-10-0644.58 KB
Qualitative Component
IDI Debrief Report (Download) 2020-09-0833.44 KB
IDI Visit Checklist Template (Download) 2020-09-0824.72 KB
In-Depth Interview Guide (Download) 2020-06-19184.43 KB
Qualitative Participation Logs (Download) 2020-11-1718.81 KB
Site Qualitative SOP Template (Download) 2020-04-0233.53 KB
Regulatory/FD Documents
Financial Disclosure Form (Download) 2019-09-1754.7 KB
Financial Disclosure Form for Protocol Chair (Download) 2019-09-1754.59 KB
SOP Templates
Data Management SOP (Download) 2020-03-13235.5 KB
MTN-042/MTN-043 Clinic Study Product Accountability and Destruction (non-pharmacy) (Download) 2019-10-2447.74 KB
Source Documentation SOP (Download) 2020-03-0661.88 KB
Safety/Clinical/Product Use Management
Baseline Medical History Questions Guide (Download) 2020-04-16239.66 KB
Clinical Flow Sheets (Download) 2020-01-31377.67 KB
Creatinine Clearance Calculator (Download) 2020-04-3023.03 KB
Infant Medical History Assessment (Download) 2020-04-16246.64 KB
MTN-042/043 PSRT Query Form (Download) 2021-04-2746.83 KB
Pregnancy Case Worksheet Template (Download) 2020-06-0527.13 KB
Tablet Use Instructions (Download) 2019-09-30773.84 KB
Vaginal Ring Use Instructions (Download) 2019-09-30816.55 KB
Study Education/Prescreening Tools
Breast Milk Expression Guide (Download) 2019-11-18971.41 KB
Breastfeeding Support Resource (Download) 2019-11-18768.07 KB
Breastfeeding Support Resource (Printer Friendly) (Download) 2019-11-18767.12 KB
Feeding Expressed Breast Milk Fact Sheet (Download) 2019-11-18127.72 KB
Feeding Expressed Breast Milk Fact Sheet (Printer Friendly) (Download) 2019-11-18129.4 KB
MTN-042 and MTN-043 Study Education Slides (Download) 2019-08-299.92 MB
MTN-042/MTN-043 Study Enrollment Decision Tool Instructions (Download) 2019-10-30191.8 KB
MTN-042/MTN-043 Study Enrollment Decision Tool Worksheet (Download) 2019-10-30134.02 KB
Pros and Cons Exercise Demonstration Video (Download) 2019-10-3119.11 KB
Provider Guide Template (Download) 2019-10-17939.11 KB
Study Education Slides (for oral presentation) (Download) 2019-07-2211.35 MB
Study Education Slides (for printed flip charts) (Download) 2019-08-2921.16 MB
Study Overview Factsheet (Download) 2019-10-23313.82 KB
Study Products Factsheet (Download) 2019-10-23520.32 KB
Study Exit
Sample Permission to Contact Log (Download) 2020-06-0528.67 KB
Sample Study Exit Worksheet (Download) 2020-06-0533 KB
Study Product Logs
MTN-042/043 Off-Site Visit Log (Download) 2019-10-23166.29 KB
MTN-042/MTN-042 Clinical Vaginal Ring Destruction Log (Download) 2019-10-23167.64 KB
MTN-042/MTN-043 Participant-Specific Clinic Study Product Accountability Log (Download) 2019-10-23209.47 KB
Visit Checklists
Early Termination Visit Checklist (Download) 2020-06-1256 KB
Enrollment Visit Checklist (Download) 2020-06-1256.95 KB
Month 1 and 2 Visit Checklists (Download) 2020-06-1253.92 KB
Month 3 PUEV Visit Checklist (Download) 2020-06-1255.59 KB
Pelvic Exam Checklist (Download) 2020-09-0838.49 KB
Screening Visit Checklist (Download) 2020-06-1852.49 KB
SEV Checklist (Download) 2020-04-0349.86 KB
Week 1 and 2 Visit Checklists (Download) 2020-04-0350.55 KB