SPAR Participant Questionnaire
  • Uncover the Hidden Health Effects of COVID-19 Infection and Vaccination

    Join the SPAR Initiative and Courageously Stand Up for Public Health
  • A Call to Action for Families Seeking Clarity and Hope

    HOW IT WORKS

    After you fill out the form below, we will send you a SPAR test kit along with clear instructions. The kit is to be taken to a laboratory near you for a standard blood draw. This is a simple and quick process, typically taking just a few minutes. Our team has endeavored to streamline the process by coordinating the payment of collection fees directly with most labs. However, should there be any instances where upfront payment is required at your chosen lab, rest assured, we will reimburse you promptly for any out-of-pocket expenses incurred during the collection. Once your sample is taken, the lab will safely send it back to us for detailed analysis.

    By participating, you are not only contributing invaluable data to a critical study but also taking a proactive step in understanding your own health in relation to COVID-19 and vaccine responses.

  • Participant Questionnaire

  • COVID-19 History

    Please list the approximate dates of each time you knew or thought you had COVID-19.
  • Indicate any medical conditions you have had below.

  • Consent for Participation in Blood Draw Research

    Research Study Title: SPAR Research Initiative

    Principal Investigator: Eliana Romero, PhD

    Overview of the Study: This research is focused on measuring circulating levels of the Spike protein.

    Your Role in the Study: You are invited to contribute to this research by donating a blood sample, which will be analyzed to detect and quantify Spike protein levels.

    Risks and Discomforts: Participating in this study may lead to minor risks including lightheadedness, fainting, bruising, prolonged bleeding, or infection at the blood draw site. To mitigate these risks, trained technicians will employ strict sterile techniques, including the use of alcohol swabs for disinfection, disposable sterile needles, and tubes for blood collection, and applying pressure post-draw to minimize bruising.

    Benefits: While there is no direct personal benefit from participating, your involvement will contribute to important research. Additionally, you may gain access to information regarding your Spike protein levels, a benefit that could have future cost implications.

    Costs Associated with Participation: There are no costs associated with your participation in this study, except for possible transportation expenses and any initial draw fees, for which you will be fully reimbursed.

    Compensation: Participants will not receive financial compensation for their involvement in this study.

    Future Use of Samples: Your blood samples may be retained and used for assay validation and potentially for future studies until the assay validation is complete. This might involve multiple analyses of your sample.

    Consent Acknowledgement: By consenting to participate in the SPAR Research Initiative, you confirm your understanding and acceptance of the information provided regarding this study. You acknowledge that your participation is entirely voluntary and that you may withdraw at any moment without any form of penalty. You have been informed of the risks and the lack of direct benefits associated with your participation. You consent to the use of your blood samples for the research purposes described, including any future studies. You understand that any costs incurred as part of your participation will be reimbursed. This consent is provided willingly and without any form of pressure.

    This document serves as your agreement to participate under the terms outlined above, acknowledging your informed consent for this research initiative.

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