As with all clinical research studies, certain things might exclude you from being eligible to participate, and answering the following questions will help us determine your eligibility.
All information you provide in this questionnaire will be held in strict confidence, and shared only with the research centre conducting the trial.
After completing this brief questionnaire, more detailed information will be given 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 of a study coordinator. Involvement in the research is entirely voluntary.
You can stop this interview at any time and request that your information be deleted from our records.