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Adherence Data Entry - Protocol 2

ID Number:

Planned time of day for medication Truvada (citrus twist tic tac) (enter the data as a number followed by AM or PM.)
Planned time of day for medication Reyataz (orange tic tac) (enter the data as a number followed by AM or PM.)
Planned time of day for medication Norvir (wintergreen tic tac) (enter the data as a number followed by AM or PM. )

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

Day 1 Truvada (citrus twist tic tac)
Yes
No
Missed

Day 2 Truvada (citrus twist tic tac)

Yes
No
Missed

Day 3 Truvada (citrus twist tic tac)

Yes
No
Missed

Day 4 Truvada (citrus twist tic tac)

Yes
No
Missed

Day 5 Truvada (citrus twist tic tac)

Yes
No
Missed

Day 6 Truvada (citrus twist tic tac)

Yes
No
Missed

Day 7 Truvada (citrus twist tic tac)

Yes
No
Missed

Day 8 Truvada (citrus twist tic tac)

Yes
No
Missed

Day 9 Truvada (citrus twist tic tac)

Yes
No
Missed

Day 10 Truvada (citrus twist tic tac)

Yes
No
Missed

Did you adhere to the Reyataz  Protocol on each day (within 2 hours) ? If you did, click the yes button, if not, no. Also click no if you took the wrong number of pills, or didn't take the pills with food.
If you missed the dose entirely, click missed.

Day 1 Reyataz (orange tic tac) 

Yes
No
Missed

Day 2 Reyataz (orange tic tac) 

Yes
No
Missed

Day 3 Reyataz (orange tic tac) 

Yes
No
Missed

Day 4 Reyataz (orange tic tac) 

Yes
No
Missed

Day 5 Reyataz (orange tic tac) 

Yes
No
Missed

Day 6 Reyataz (orange tic tac) 

Yes
No
Missed

Day 7 Reyataz (orange tic tac) 

Yes
No
Missed

Day 8 Reyataz (orange tic tac) 

Yes
No
Missed

Day 9 Reyataz (orange tic tac) 

Yes
No
Missed

Day 10 Reyataz (orange tic tac) 

Yes
No
Missed

Did you adhere to the Norvir Protocol on each day (within 2 hours) ? If you did, click the yes button, if not, no. Also click no if you did not take the pill will the Reyataz.
If you missed the dose entirely, click missed.

Day 1 Norvir (wintergreen tic tac) 

Yes
No
Missed

Day 2 Norvir (wintergreen tic tac) 

Yes
No
Missed

Day 3 Norvir (wintergreen tic tac) 

Yes
No
Missed

Day 4 Norvir (wintergreen tic tac) 

Yes
No
Missed

Day 5 Norvir (wintergreen tic tac) 

Yes
No
Missed

Day 6 Norvir (wintergreen tic tac) 

Yes
No
Missed

Day 7 Norvir (wintergreen tic tac) 

Yes
No
Missed

Day 8 Norvir (wintergreen tic tac) 

Yes
No
Missed

Day 9 Norvir (wintergreen tic tac) 

Yes
No
Missed

Day 10 Norvir (wintergreen tic tac) 

Yes
No
Missed