Medical Statistics Request Form

Name *

Email address *

Phone number *

Position *

Organisation *

Department/School *

What research question does this study address? *

Statistical query – advice required (please tick all that apply) *

Design of a research study

Sample size calculation

Advice on suitable statistical tests for analyses

Advice on performing a particular analysis

Interpreting output from an analysis

Interpreting a published paper or document

Other Other

Current stage of project e.g. preparing grant proposal, analysis stage *

Have you attended a clinic previously? If so please provide brief details. *