LARC Training Questionnaire

100%

First and Last name:

Email address

PI Name:

What species will you be working with? Select all that apply?

Mice

Rats

Vole

Amphibians

Zebrafish

Reptiles

What procedures will you be performing? Select all that apply. Be Specific

Anesthesia

Animal Husbandry

Non-Survival

Single Survival

Multiple Major Surgeries

Multiple Minor Surgeries

Observation Only

Phlebotomy (blood draws? Which Vessel(s)?/Injections -Which route(s)?

Vessel(s)/Route(s)?

Substance Administration Routes? IP, SC, IV, IM, ICr, Ica

Specific routes?

Euthanasia/Tissue Procurement

Surgical Monitoring & Care

Other

What is your experience with animal models? (Please state time frame e.g. months/years and a short description of the handling experience)

Do you have any allergies? (i.e. dander, chemicals, latex)

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