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Visibly Invisible: Rural Opioid Use and Drug Injection in Rural New York
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Cornell University
310 Triphammer
Ithaca, NY 14850
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Hello! Please fill out the form below to help us determine if you may be eligible to participate in one of our studies. If you are eligible, we will follow up with you directly!
Research Eligibility Screening Form
Name
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Name
First
First
Last
Last
Email
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Phone
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Current Age
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Are you Latino/Latina or Hispanic?
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What’s your primary race/ethnicity?
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What state do you currently live in?
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What city do you currently live in?
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What is your current zip code?
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How long have you lived in your current zip code?
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Which days of the week would be best for you to participate in our study? Please select all that apply.
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Which times of the day would be best for you to participate in our study? Please select all that apply.
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If you are human, leave this field blank.
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