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PMBC Training . . .		 Researchers affiliated with the University of Pittsburgh or Carnegie Mellon University
may use the form below to request consultation for planning research studies or facilitating
training in the use of psychosocial and behavioral measurements.

Any questions regarding this form should be directed via Email to Todd Bear.

Fill in all relevant information and click the "Submit" button below. 
If there are any errors, click the "Clear" button to clear the information you've entered.

Name:
Affiliation:
Phone Number:
E-Mail:
.
I am seeking
assistance in:
 Dietary/Nutrition or Activity Assessment
Depression, Anxiety or Hostility/Anger Assessment
Ecological Momentary Assessment
Life Stress Assessment
Other ~ Use "Further Description of Request" below for details
 Further Description
of Request:
*optional 
Source of funding
for project:


Core-C MainLinksOnline ReviewsWorkshopsConsultation
  Revised 10/1/2006  la/tc

 

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