REACT - Site Evaluation Form CONTACT INFORMATION 17% of survey complete. Question Title * 1. Principal Investigator First Name * Last Name * Degree Address * City * Province * Postal Code Email Phone # * Fax # * Question Title * 2. Principal Investigator preferred method of communication Email Phone Question Title * 3. Study Coordinator First Name Last Name Degree Address (if different from Principal Investigator) City Pronvince Postal Code Country Email Address Phone Number Question Title * 4. Study Coordinator preferred method of communication Email Phone Question Title * 5. Please provide the preferred contact number and time when the PI and SC can be reached: PI - phone # PI - time SC - phone # SC - time Next