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    Step 3 of 3

    Tell us more about yourself

    Take a couple minutes to answer the questions below. Once you're done with this step, you'll be on the books to get SmartMatched™ with opportunities relevant to you. No information will be shared with any third party without your consent. 

  •  -
  • Gender (changed to multiple choice property** hide this option**)*
  • Select one or more options that reflect your gender*
  • What sex were you assigned at birth?*
  • Birthdate:*
     / /
  • Ethnicity (Select all that apply)*
  • Please indicate your COVID-19 Diagnosis.*
  • Have you experienced covid-like symptoms and believe that you had / have COVID-19?
  • Are you experiencing long-term COVID-19 symptoms?
  • Have you experienced neurological symptoms for 3 or more months that caused you to be seen by a neurologist?
  • Were you previously hospitalized due to COVID-19?*
  • Have you ever received any of the following treatments for COVID-19 complications?*
  • Do you have a confirmed diagnosis of Sickle Cell disease?*
  • Have you ever been diagnosed by a healthcare professional with any of the following medical conditions? (Select all that apply)*
  • Have you ever been diagnosed by a healthcare professional with any of the following medical conditions? Select all that apply. Your answers are confidential.*
  • Are you currently pregnant or breastfeeding?*
  • Please indicate your occupation.*
  • Do you own a smartwatch?*
  • Do you currently own or use any of the following smart wearable devices? (Select all that apply)
  • Do you have access to the internet?*
  • Have you ever used 23andMe for DNA testing?*
  • Would you like to consider participating in a clinical trial or study?*
  • What types of studies would you like to get email alerts about?*
  • Should be Empty: