Build a Custom Form

The Form Builder is available to users who agree to the PRO-CTCAE Terms of Use.

I agree

User Questionnaire

Please take the time to answer a few questions about your use of PRO-CTCAE. The information you provide will help us understand how people are using PRO-CTCAE, and to improve it in the future. If you provide your e-mail address, we'll send you a link that you can use to come back to your pre-built form anytime.

I've already answered the questionnaire

Study design (select one)

Is the study NCI/NIH Sponsored?
Ped-PRO-CTCAE version
PRO-CTCAE items needed You will have the opportunity to revise these choices on the next page.

Oral







Gastrointestinal













Respiratory





Cardio/Circulatory



Cutaneous








Neurological



Visual/Perceptual






Attention/Memory



Pain





Sleep/Wake



Mood




Genitourinary






Miscellaneous









Languages requested You will have the opportunity to revise these choices on the next page.








Processing your request.... decorative graphic indicating that processing is taking place
Last Updated: 19 Feb, 2025