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Project Intake Form
* Indicates required question
Email
*
Record my email address with my response
Project Name
*
Your answer
PI
*
Your answer
Assigned To
*
Gina
Christy
Matt
Chloe
Sanmi
Required
Deliverable 1
*
Your answer
Deadline for Deliverable 1
*
MM
/
DD
/
YYYY
Deliverable 2
*
Your answer
Deadline for Deliverable 2
*
MM
/
DD
/
YYYY
Is it a short-term project?
*
Yes
No
Department/School?
*
PM&R
HERL
Other
If "Other", write a short description
Your answer
Externally Funded
*
Yes
No
Authorship
*
Yes
No
Do you need help with Manuscript or Poster?
*
Yes
No
What is the analysis difficulty level?
*
Descriptive
Basic Statistical Testing
Basic Modeling
Advanced Modeling & Other Difficult Analyses
Do you need any specific analysis to be done?
*
Your answer
Data Cleaning / Manipulation
*
Yes
No
Cleaning Amount
*
Small
Medium
Large
Data Source
*
Your answer
Study Start Date
*
MM
/
DD
/
YYYY
Study End Date
*
MM
/
DD
/
YYYY
Effort (%)
*
Your answer
Estimated Effort (%)
Your answer
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