I have been provided with an opportunity to read this consent form carefully. All of the questions that I wish to raise concerning this study have been answered. By signing this consent form, I have not waived any of the legal rights or benefits to which I otherwise would be entitled. My signature indicates that I freely consent to participate in this research study. I voluntarily agree to allow study staff to collect, use and share my health data as specified in this form. I will receive a copy of the consent form for my records.