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Statistics Consultation Form1 by 4mD4ar

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									Statistics Tailored Session Request Form
Appointment Date:               Time:
                                                          Choice of session          Face-to-face
                                                                                     Online


Your Name:                                                        Phone:
Email address:
Invoice Address:                                                  Purchase Order No:
                                                                  (if your organisation is paying
                                                                  for the service)




Please complete the following, indicating what aspects of the study you would like to
discuss with the statistician:

Research Question(s)



Type of study design (e.g. RCT, Case control, Cohort study, Comparison study)




Study population including demographic characteristics




Outcome measures: primary and secondary



Sample size




Statistical methods of analysis




PLEASE ATTACH A STUDY PROTOCOL AND DATA FILE IF AVAILABLE.
Return the completed form to: Elizabeth Wiredu by email elizabeth@datasolutionservices.co.uk




 Data Solutions Services  65 Highsands Avenue  Rufford  Lancashire  L40 1TE  01704 821 120
 07766552325  Email: info@datasolutionservices.co.uk  Website: www.datasolutionservices.co.uk
                                         VAT No: 134 8798 72
Statistics Tailored Session Request Form

Workbook
You will receive a comprehensive 120-page bounded workbook, with the service. This can
be posted to or PDF version emailed to you if your session is online.

Fees
Work is charged at an hourly rate of £65 + VAT. Payment is required at the end of session.
Receipt is produced for your payment. Invoice is sent to your finance where purchase order
number is provided.

Payment
For individual researchers, the service charges will be invoiced at the end of the meeting and
must be paid then or within 7 days of receipt. Where instituional purchase order number is
given, 14 or 28 days payment duration applies.

Please make BACS payment to Data Solutions Services, Santander Business Banking,
Bridle Road, Bootle, Merseyside L30 4GB. UK Account no: 42107523, Sort Code: 09-06-66.
International: Swift BIC: ABBYGB2LANB, IBAN: GB17ABBY 0906 6642 1075 23.

Please make cheque payable to Data Solutions Services. Postal address: 65 Highsands
Avenue, Rufford, Lancashire, L40 1TE.

Terms and Conditions
Confirmed meeting, if to be cancelled, requires at least 2 working days notice otherwise, part
payment may be required or alternative date and time be rescheduled.




 Data Solutions Services  65 Highsands Avenue  Rufford  Lancashire  L40 1TE  01704 821 120
 07766552325  Email: info@datasolutionservices.co.uk  Website: www.datasolutionservices.co.uk
                                         VAT No: 134 8798 72

								
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