AcaciaMedical
Trial enrolment form

3-Month Efficacy Trial

A structured 90-day program that measures real-world treatment outcomes at three checkpoints. Complete each questionnaire when prompted by your care team.

Pending HREC approval. Trial data collection is currently disabled — questionnaires are shown for preview only and cannot be submitted.
  1. Day 1 baseline questionnaire

    Checkpoint 1

    Day 1

    Baseline assessment

    Record your starting point: pain, sleep, side effects and quality of life before treatment begins.

  2. Day 45 mid-point questionnaire

    Checkpoint 2

    Day 45

    Mid-point check-in

    Track early response and tolerability at the halfway mark of the 3-month program.

  3. Day 90 final questionnaire

    Checkpoint 3

    Day 90

    Final outcomes

    Capture overall change since baseline to complete your efficacy trial record.

Researcher available for consultation

Need help with a questionnaire?

Our research support team can walk you through any checkpoint. Questionnaires never replace your prescriber's advice — contact your care team about any change to your treatment.