Research Participant Intake
Structured intake with consent, for the start of an academic study.
5 questions
Signature
Required
1. I consent to participate in this research study
Number
Required
2. Age
Single choice
3. Gender
- Female
- Male
- Non-binary
- Prefer not to say
- Other
Single choice
4. Highest level of education completed
- High school
- Some college
- Bachelor's degree
- Graduate degree
Long text
5. Do you have any relevant prior experience with this topic?