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  • Lupus Research Study - Eligibility Form

    Thank you for your interest! We are conducting a paid research study for people living with lupus in the greater Boston area, launching later this summer. If you qualify, participation involves a simple blood draw — just a few tubes — at our Lexington, MA office or in your home at a time that works for you. Eligible individuals receive $100 for their participation. Please take a few minutes to answer the questions below and we will be in touch if you appear to be a good fit.

  • Joined Bio is collecting this personal and health information to help determine your eligibility for this study. We will never sell this information, and we will not share it without your express permission. You can review our full privacy policy at https://joined.bio/privacy-policy/

  • Contact Information

  • Format: (000) 000-0000.

  • General Eligibility and Demographics

  • What is your ethnicity? (select all that apply)*
  • Our studies require medical record verification of your diagnoses (such as a medical summary report or visit report). Can you provide that information?*

  • Diagnosis and Lupus History

  • Have you been diagnosed with systemic lupus erythematosus (SLE)?*
  • Do you also have Cutaneous Lupus Erythematosus (CLE)*

  • Current Medications

  • Are you currently taking medications to treat lupus or another autoimmune disease?*
  • Are you currently taking any corticosteroids in the doses listed below? Select all that apply select "None" you are either not taking these medications.*
  • Are you currently taking any antimalarial therapy? Select all that apply select "None" you are either not taking these medications.*
  • Are you taking any of the following immunosuppressive medications? Select all that apply select "None" you are either not taking these medications.*
  • Are you taking any of the following Jak/Tyk inhibitors? Select all that apply select "None" you are either not taking these medications.*
  • In the past 6 months, have you taken any of the following biologic or targeted therapies? Select all that apply select "None" you are either not taking these medications.*

  • Current Disease Activity Survey (QSLAQ)

  • The following questions ask about symptoms you may have had in the PAST 3 MONTHS. For each symptom, please indicate whether it was NEW or WORSE compared to before your lupus diagnosis or compared to your usual state when your lupus is well-controlled.

  • In the past 3 months, have you had new or worse fatigue or tiredness?*
  • In the past 3 months, have you had new or worse joint pain, stiffness, or swelling?*
  • In the past 3 months, have you had a new or worse rash?*
  • In the past 3 months, have you had new or worse muscle pain or weakness?*
  • In the past 3 months, have you had new or worse hair loss?*
  • In the past 3 months, have you had new or worse sores or ulcers in your mouth or nose?*
  • In the past 3 months, have you had new or worse chest pain when taking a deep breath?*
  • In the past 3 months, have you had a new or worse fever (temperature above 38°C / 100.4°F)?*

  • Please click "Submit" below to record your responses.

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