Build your custom Ped-PRO-CTCAE form

Use the checkboxes below to choose the Ped-PRO-CTCAE items you need, then click the buttons to download a custom form for self-reporting by children and adolescents ages 7-17 (Ped-PRO-CTCAE), or for reporting by a caregiver of a child ages 7-17 who is unable to self-report (Ped-PRO-CTCAE [Caregiver]). The items in your downloaded form can be copied and pasted into other documents or your ePRO system. To see the full list of available Ped-PRO-CTCAE items, please visit the Instrument page.

If you've already registered, we encourage you to use the link that was e-mailed to you to access this form builder. This will help us understand how people are using Ped-PRO-CTCAE, and improve it in the future.