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
Are you Latino/Latina or Hispanic?
What’s your primary race/ethnicity?
Native American/Indian American
Pacific Islander/Native Hawaiian
What state do you currently live in?
What city do you currently live in?
What is your current zip code?
How long have you lived in your current zip code?
Less than 1 month
5 or more years
Which days of the week would be best for you to participate in our study? Please select all that apply.
Which times of the day would be best for you to participate in our study? Please select all that apply.
If you are human, leave this field blank.