Cost Analysis Request Form (WT00)
Completing this form will help Wayturn estimate an accurate cost per enrollment for your clinical research study.
What best describes your research study?
Study with in-person visits
Virtual study without in-person visits
(hidden) Location information
Upload Research Study Documents
Please upload files, or provide links to, as many of the following documents as possible: Full Eligibility Criteria, Patient Consent Form, Information Brochure, and current Promotional Materials.
Upload Multiple Study Documents
Browse or drag and drop files using the button above.
[Optional] Additional comments
Provide details for recruitment dates, number of enrollments, compensation, phone screening and clinic screening if applicable.
Number of People
Total Enrollment Target
When is your Recruitment Period?
Are Participants compensated or reimbursed for participating in this study?
What is the compensation in USD?
Per visit, total or an average if not applicable.
Can the compensation be shown on adverts?
Is Phone Screening part of this study?
What percentage of people do you expect to pass Phone Screening? Please provide the source for this statistic if possible.
If unsure, please leave blank.
Is Clinic Screening part of this study?
What percentage of people do you expect to pass Clinic Screening? Please provide the source for this statistic if possible.
If unsure, please leave blank
Should be Empty: