Research Recruitment Survey
Interested in taking part in a research study?
Please complete this very short survey. It will help to identify potential clinical research projects that you may be eligible to participate in now or in the future. Your decision to complete this survey is completely voluntary. There will be no negative consequences and no loss of benefits if you decide not to complete the survey. There is no cost to you, and you will not be paid for completing this survey.
The only potential risk is a loss of confidentiality. However, there are systems in place to protect your information, and your responses will not be used or shared without your permission, except as required by law.
If you have questions, concerns or complaints about the survey please contact the Investigator, Christopher Cannon, by email at email@example.com or by phone at (202) 745-6157. This survey has been reviewed by an Institutional Review Board (IRB), an independent committee established to help protect the rights of research subjects. For questions about your rights as a research subject, contact the study subject adviser at Advarra IRB by phone, toll free, at 877-992-4724 or by email at firstname.lastname@example.org. Please reference the following number Pro0047809.
By submitting your information into this survey, you consent to its use for contact purposes by Whitman-Walker Institute to use for research recruitment purposes. This does not guarantee participation in a study.