Skip to Main Content
U.S. Department of Health & Human Services
»
National Institutes of Health
Login
|
Register
Search:
Search
Biologic Specimen and Data Repository Information Coordinating Center
Toggle navigation
Home
(current)
About BioLINCC
About Us
FAQ
Contact Us
Glossary
Biospecimen and Data Resources
Overview
Studies
Teaching Datasets - Public Use Datasets
Renew Existing Data Use Agreement
Publications
Funding Opportunities
Non-BioLINCC Resources
Covid-19 Resources
Procedures and Forms
BioLINCC Handbook
Form Templates
Agreement Templates
Build/Submit New Collection
Informed Consent Considerations
NHLBI Biorepository Guide
Submit Datasets
Submit Biospecimens and Datasets
Home
>
Studies
>
Studies
>
Activity Counseling Trial (ACT)
Study Documents
Go back to all Study Documents
Index of Forms
12-Month Telephone Follow-up Dispostion (PDF - 146.9 KB)
18-Month Adverse Events (PDF - 93.0 KB)
24-Month A Follow-up Disposition (PDF - 152.8 KB)
24-Month B Follow-up Disposition (PDF - 166.7 KB)
6-Month Follow-up Disposition (PDF - 175.4 KB)
Activities Inventory (PDF - 292.5 KB)
Baseline Medications (PDF - 73.0 KB)
Clinical Measures (PDF - 72.8 KB)
Demographics and Medical History (PDF - 714.0 KB)
Diet (PDF - 1014.7 KB)
End of Study Survey (PDF - 125.9 KB)
Follow-up Adverse Events (PDF - 712.1 KB)
Follow-up Health Habits (PDF - 190.2 KB)
Heart Rate Variability (PDF - 69.1 KB)
Influences on Activity (PDF - 1.0 MB)
Max Graded Exercise Test (PDF - 103.6 KB)
Medlant Variables (PDF - 32.6 KB)
Physical Activity Recall (PDF - 122.1 KB)
Physical Exam (PDF - 76.0 KB)
Physician End of Study Survey (PDF - 80.3 KB)
Pulse Wave Velocity Variables (PDF - 34.5 KB)
Quality of Life (PDF - 942.8 KB)
Random Variables (PDF - 30.7 KB)
SV1 Disposition (PDF - 78.9 KB)
SV2 Disposition (PDF - 55.2 KB)
SVO Disposition (PDF - 59.9 KB)
Self Evaluation (PDF - 91.8 KB)
Study Termination (PDF - 49.6 KB)
Submax Graded Exercise Test (PDF - 55.1 KB)
Telephone Pre-Screening (PDF - 178.3 KB)