GABACUTE get involved How do you want to be involved in the GABACUTE project? Question Title * 1. What is your home school of anaesthesia? Question Title * 2. What hospital will you be in during November 2017? Question Title * 3. How would you like to be involved during the study? (Tick all that apply) Hospital Site Lead (co-ordinate approvals and data collection at your hospital) Regional Lead (co-ordinate hospitals in your local school of anaesthesia with the help of local trainee research network if applicable) Local data collector (collect data from patients) I do not want to be involved in data collection Other (please specify) Question Title * 4. How would you like to be involved during project design/set up? (Please rank your preferences - enter NA if you do not want to be involved in project design/set up) 1 2 3 4 5 N/A Project development eg refining protocol, co-ordination at a national level N/A 1 2 3 4 5 N/A Ethics / Research & Development /audit department applications and liaison N/A 1 2 3 4 5 N/A Information Governance and IT N/A 1 2 3 4 5 N/A Data Analysis N/A 1 2 3 4 5 N/A Write up N/A Question Title * 5. Please enter your name Question Title * 6. Please enter your email address Question Title * 7. Please choose your current training grade Foundation Year Doctor Core Trainee Intermediate Trainee Higher Trainee Advanced Pain Trainee Clinical Research Fellow Consultant Other (please specify) Question Title * 8. Please tell us any other areas that you are particularly keen to get involved with Done