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Dietary Research Study Invites Adolescents 13 to 18 Years Old Who Skip Breakfast

Consent to Continue

Thank you for your interest in this research study.  

(NOTE: If you are the parent of a potential participant, please be aware that the language we use is directed toward the participant; the use of “you” and “your” refers to your child, in this case. We also request that the participant is the one providing the information requested below.) 

The information shared with us today will be used as a tool to determine whether or not you may be eligible to participate in this research study. If you decide to continue in the study after completing this questionnaire, additional screening will be required to confirm whether you qualify for the study. Before being asked to sign the study consent and complete the additional screening, you will be provided with a full description of all tests, procedures, risks and benefits associated with participation in this research study.
This screening questionnaire below will take about 5 minutes of your time. We will ask you questions about your general health and eating patterns to determine whether you might qualify for the study.

All information you provide in this questionnaire will be held in strict confidence, and shared only with the research center conducting the study. Trialfacts will delete your  information from our records upon your request.

For your reference, please find a link to the Trialfacts Privacy Policy.

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