ALTO-203-201 Rater Qualification Questionnaire

ALTO-203-201 Rater Qualification Questionnaire (RQQ)


Instructions: Please provide all the information requested below. All sections must be completed in order to proceed to rater training activities.



RATER AND SITE INFORMATION




EDUCATIONAL EXPERIENCE


Please help us establish your educational qualifications by listing all of your advanced degrees (i.e., degrees higher than a high school diploma), beginning with your most recent advanced degree.



EXPERIENCE WITH CLINICIAN-RATED ASSESSMENTS FOR ALTO-300-201


Please help us to establish your rater experience with ALTO-300-201 clinician-rated assessments by providing the following information.


1. Structured Clinical Interview for DSM-5 (SCID-5)


2. Montgomery–Åsberg Depression Rating Scale (MADRS)


3. Clinical Global Impression Scale – Severity (CGI-S)


4. Concise Health Risk Tracking Clinician Rating scale (CHRT-C)
[Note: Columbia Suicide Severity Rating Scale (C-SSRS) is an accepted equivalent to CHRT-C]


5. Antidepressant Treatment Response Questionnaire (ATRQ)



EXPERIENCE WITH OTHER CLINICIAN-RATED ASSESSMENTS


Please help us to establish your general Rater experience by providing the following information






CLINICAL AND RESEARCH EXPERIENCE


Please help us to establish your clinical and research experience with working in the field of depression.

Area of Expertise