1. Clarity: Is this research summary clear? Did the research applicant clearly explain the intent and importance of the research?	Yes___ Somewhat/Partially____ No___ I’m not sure____ Comments:
2. Relevance: In your opinion, do you believe that patients will consider this research important? Is the research summary missing any key components? Do you feel you or other patients will benefit from this research?	Yes___ Somewhat/Partially____ No___ I’m not sure____ Comments:
3. Patient Engagement: Does this project have a patient engagement component?	A. Yes___ B. Somewhat/Partially____ C. No____ D. I’m not sure____
Patient engagement: If you responded to Question 3 checking “A” or “B”. . . . . . feel this project has a patient engagement component, we welcome your opinion: Is the engagement appropriate? Is there a way patients could be more involved?	Comments:
Patient engagement: If you responded to Question 3 checking “C” or “D”. . . You feel this research does not have a patient engagement component, we welcome your opinion: Should patients be involved in this research? If yes, how many patients be more involved?	Comments:
4. Feedback to the applicant: Is there anything you would like the researcher(s) to know?
Any comments, compliments, questions or concerns for the Peer-Review Committee?