You are invited to join our list of people interested in participating in future research, which may include studies assessing the impact of environmental exposures on brain health or other health-related topics. This brief online survey should take approximately 3 minutes to complete, and includes questions about your contact information, demographics, and health. 

If you have any questions before you complete this survey, please contact the registry coordinators at cbe@atria.org. 

All responses you provide for this survey will be kept confidential. If the results of the survey are reported, you will not be identified by name or any other information that could be used to infer your identity.

By clicking “Yes” below, you acknowledge that you have read and understood that:

• Your participation in this survey is voluntary. You may withdraw your consent and discontinue participation in the project at any time. Your refusal to participate will not in any way adversely impact you.
• You are at least 18 years of age and voluntarily consent to take part in this research by completing the questionnaire to the best of your ability. 
• You may be contacted periodically by Atria investigators about research opportunities for which you may be eligible.