Record	Format
1) Randomizatin Record	PDF
2) Demographics and Medical History	PDF
3) Baseline Medical History	PDF
4) Baseline Visit 1	PDF
5) Baseline Visit 2	PDF
6) Clinic Visit Documentation	PDF
7) Annual Clinic Visit	PDF
8) ECG Coding	PDF
9) Local Laboratory Results	PDF
10) Central Laboratory Results	PDF
11) Receipt of Alert Level from Central Laboratory	PDF
12) Scan Coding form for Stroke	PDF
13) Urine Chlorthalidone Results	PDF
14) CT Scan Coding form for Dementia	PDF
15) Silent MI	PDF
16) Initial Notification of Morbid Event	PDF
17) Final Report of Morbid Event	PDF
18) Initial Notification of Death	PDF
19) Final Report of Death	PDF
20) Neurological Evaluation for Stroke	PDF
21) Neurological Evaluation for TIA	PDF
22) Short-care form	PDF
23) Diagnostical Evaluation for Dementia	PDF
24) Diagnostic Criteria for Depression	PDF
25) Activities of Daily Life	PDF
26) Social Network Questionnaire	PDF
26) Behavioral Evaluation	PDF
27) Compliance Evaluation	PDF
28) General Well-Being	PDF
29) Side Effects Questionnaire	PDF
30) Protocol Reveiw and Medical Scheduling Decision	PDF
31) Annual Medical, Medication, and Habits History	PDF
32) Report of Deviation from Protocol	PDF
33) Report of Study Drug Disclosure	PDF
34) Documentation of Refusal or Lost to Follow-up	PDF
35) Report of Missed Quarterly or Annual Visit	PDF
36) SHEP Satisfaction/ Attitude Questionnaire	PDF
37) Close-out/ Transition	PDF
38) Transition Telephone Contact Record	PDF
39) Monitoring of SHEP Non-Fatal Events	PDF
40) Monitoring of SHEP Deaths	PDF