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Adherence Data Entry - Protocol 1

ID Number:

Planned AM time of day for medication Fuzeon (Kool-Aid)   Planned PM time of day for medication Fuzeon (Kool-Aid)
Planned AM time of day for medication Kaletra (spearment tic tac) Planned PM time of day for medication Kaletra (spearment tic tac)
Planned AM time of day for medication Combivir (cinnamon tic tac) Planned PM time of day for medication Combivir (cinnamon tic tac)

Did you adhere to the Fuzeon Protocol at each day/time (within 2 hours) ? If you did, click the yes button, if not, no. If you did it wrong (didn't mix it correctly, didn't let it stand for 10 minutes), click no.
If you missed the dose entirely, click missed.

Day 1 Fuzeon (Kool-Aid) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 2 Fuzeon (Kool-Aid) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 3 Fuzeon (Kool-Aid) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 4 Fuzeon (Kool-Aid) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 5 Fuzeon (Kool-Aid) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 6 Fuzeon (Kool-Aid) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 7 Fuzeon (Kool-Aid) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 8 Fuzeon (Kool-Aid) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 9 Fuzeon (Kool-Aid) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 10 Fuzeon (Kool-Aid) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Did you adhere to the Kaletra Protocol at each day/time (within 2 hours) ? If you did, click the yes button, if not, no.
If you missed the dose entirely, click missed.

Day 1 Kaletra (spearmint tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 2 Kaletra (spearmint tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 3 Kaletra (spearmint tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 4 Kaletra (spearmint tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 5 Kaletra (spearmint tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 6 Kaletra (spearmint tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 7 Kaletra (spearmint tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 8 Kaletra (spearmint tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 9 Kaletra (spearmint tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 10 Kaletra (spearmint tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed


Did you adhere to the Combivir Protocol at each day/time (within 2 hours) ? If you did, click the yes button, if not, no.
If you missed the dose entirely, click missed.

Day 1 Combivir (cinnamon tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 2 Combivir (cinnamon tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 3 Combivir (cinnamon tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 4 Combivir (cinnamon tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 5 Combivir (cinnamon tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 6 Combivir (cinnamon tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 7 Combivir (cinnamon tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 8 Combivir (cinnamon tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 9 Combivir (cinnamon tic tacs) - AM / PM
AM
PM
Yes
No
Missed
Yes
No
Missed

Day 10 Combivir (cinnamon tic tacs) AM/PM
AM
PM
Yes
No
Missed
Yes
No
Missed