Please answer all the questions to find out if you’re eligible for this research study.
Your answers are kept confidential and will not be shared with anyone except the research team
If you are eligible and would like to learn more about the study, you will be asked to provide your contact information so the study team can contact you with more information.
This is a prescreening questionnaire mockup. The final questionnaire will contain all prescreening questions, and conditional logic for the eligiblity criteria.