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Adherence Data Entry - Protocol 3

ID Number:

Planned time of day for medication (enter the data as a number followed by AM or PM).

Did you adhere to the Atripla Protocol (orange tic tac) 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 
Yes
No
Missed

Day 2

Yes
No
Missed

Day 3 

Yes
No
Missed

Day 4 

Yes
No
Missed

Day 5 

Yes
No
Missed

Day 6 

Yes
No
Missed

Day 7 

Yes
No
Missed

Day 8 

Yes
No
Missed

Day 9 

Yes
No
Missed

Day 10 

Yes
No
Missed