Intake Submissions

Mississippi and Alabama Adolescent Environmental Health Study
Would you like to know how your environment may be impacting the health of you and your children? If you live in Mississippi, researchers at Brown University School of Public Health will be conducting a research study to better understand how your water, soil, air, and noise quality may be impacting the health of you and your children. You and your child will be eligible for $175 upon completion of your study visit! For returning participants, you will receive $200.
Are you interested in enrolling in our study?
Name

First NameLast Name
Please fill in your PHYSICAL address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please provide a contact phone number that allows for texts.

Area CodePhone Number
Which community are you apart of?
Please provide an email address that you check often.
example@example.com
Once you submit this intake form, please expect a follow-up and/or text message with registration details. If you do not receive a response from us, check your spam folder or email us at adrian_roberson@brown.edu.

*This study was approved by Brown University's IRB (study #07).
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Mississippi and Alabama Adolescent Environmental Health Study