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Research Study on Pregnancy and Parenting for Mothers

Consent to Continue

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, and you will have the opportunity to speak with and ask questions of a study coordinator. You can stop this discussion at any time.
Please note that by completing this questionnaire, you consent to us collecting your answers to the questions, including your contact information.  All information you provide in this questionnaire will be held in strict confidence, and shared only with the research center conducting the study. Vital Research will delete your information from our records upon your request. While completing the questionnaire you will have the option to join our mailing list to be contacted via email about future clinical trials for which you may be eligible. You will not be contacted about future trials 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 COVID-19 pandemic, the study team would like to point out the following:
  • The research site/institution is taking all precautionary measures to ensure the safety of the study participants. 
  • The research team uses safety procedures, including masks, social distancing, symptom screening, and frequent sanitizing, to prevent the spread of COVID-19. 
  • Study materials are sanitized between each use. Hand sanitizer is available for participants’ use. 
  • Research staff and participants are screened for symptoms of COVID-19 before coming to the research site.
  • Research staff who have symptoms of COVID-19 or who have come into close contact with someone who has COVID-19 will undergo a quarantine before coming to the research site. 
  • The study team can arrange transportation by taxi or rideshare services. If the participant drives a personal vehicle to the visit, she will be compensated for transportation. Parking is available at the research site.

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