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Research and Communities

Before we begin, please answer a few quick questions to see if your child may qualify for this research study.


This pre-screening takes less than 2 minutes and helps our team determine eligibility. Your responses are confidential, and there is no obligation to participate.

If your child may qualify, a study coordinator will contact you to explain the next steps and answer any questions.

Name

Email address

1. Awareness

Have you ever heard about participating in a medical research study before?

2. Personal Relevance

Do you or your child currently experience any of the following conditions? (Select all that apply)

Do you or your child currently experience any of the following conditions? (Select all that apply)
A
B
C
D

3. Motivation

What would motivate you most to participate in a research study? (Select up to 2)

What would motivate you most to participate in a research study? (Select up to 2)
A
B
C
D
E

4. Concern

What concerns would you have about joining a research study? (Select all that apply)

What concerns would you have about joining a research study? (Select all that apply)
A
B
C
D
E
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