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Researchers Need Your Help to Study Potential COVID-19 Treatments

Consent to Continue

After completing this brief questionnaire, more detailed information will be provided to you before you decide whether or not to take part in the research. You will also have the opportunity to speak with and ask questions to a member of the study team. Please be informed that you can stop this discussion at any time.
Please also note that by completing this questionnaire, you are consenting to Trialfacts to collect your answers to the questions, including your contact information.  All information you provide will be held in strict confidence and shared only with the research team conducting the study. Trialfacts will delete your information from our records upon your request. 

You will have the option to join the Trialfacts mailing list to be contacted via email about future research studies which you may be eligible for. Trialfacts may also reach out to you to gather feedback on your experience with us. You will not be contacted if you choose not to sign up to our mailing list.
For your reference, please find a link to the Vital Research Privacy Policy.

Please note:
Due to the current situation with the COVID-19 pandemic, the researchers would like to assure the participants that ensuring the safety of the participants as well as the study staff is of utmost importance.

Are you willing to continue? *This question is required.