RESEARCH AND TRANSLATIONS REQUEST FORM

Licensing PEDS Tools for Initiatives, Studies and Translations

The authors and researchers of PEDS Tools are happy to help you with your project. To best assist you, we need the following information:

Your Contact Information

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Please describe your study or initiative:

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Please describe your study. This is a required field.

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Please enter the goals of your study. This is a required field.

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Please enter your expected findings. This is a required field.
How do you plan to use PEDS tools?

How will you access our tools?

Online
Other Application
Print
Other
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Please tell us about the other method you will use. This is a required field.

Which measures do you plan to use?

PEDS
PEDS:DM
PEDS and PEDS:DM together (The Best Approach)
PEDS:DM-AL (assessment level - We recommend using the PEDS:DM-AL measure if working with special-needs children)
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Please tell us which of our tools you will be using. This is a required field.
Setting:




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Please enter the number of professionals that will administer the measure. This is a required field.
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Please describe your other setting. This is a required field.
Funding
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Subjects
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References and Contacts:
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Start and End Dates:
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Please give your approximate start date. This is a required field.
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Please give your approximate stop date. This is a required field.

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Please explain how you will train other on the use of PEDS Tools.

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Please provide names, titlles/roles and email addresses for key professionals and administrators to continue.
If received after business hours, on a holiday or weekend, we will begin processing your request on the next business day. Please allow up to ten business days. If you have any questions, please contact info@pedstest.com or call (877) 296-9972.