PAI-2 Clinician Referral Interest Survey

  • PAI-2 Clinician Referral Program Interest Survey

  • Thank you for your interest in participating in the PAI-2 data collection.

    To begin, please enter your first and last name. Then, let us know whether you are a licensed clinican. If you are not licensed, but work at a practice with a supervising clinician, please indicate that instead.

  • Are you a licensed clinician?*
  • Do your clients reside in the United States?*

  • Over the past few months, PAR has been collecting data for the PAI-2. As part of this project, we are now inviting clinicians to refer eligible participants.

    If you’re a good fit for this opportunity, you’ll receive monetary compensation for each participant who completes the PAI-2 after you submit both a referral form (about 2 minutes) and a demographic form (about 10 minutes).

    If you’re interested in participating, please answer the question below. Our data collection team will follow up with additional details, including the consent and release of information process.

  • *
  • Thinking about your typical patient population, what are the most common diagnoses of your clients? Please select up to 5 diagnoses.*
  • Does your work involve any of the following areas? Please select all that apply.*
  • If the team was able to address your concerns, are you open to us reaching out to you again for this project?*
  • Should be Empty: