Request edit access
Qualitative study on caste and mental health: Participant sign-up form

Thank you for your interest in participating in this study. We are conducting a research project to understand the mental health experiences of students from marginalized caste backgrounds in Indian universities.

Your identity and responses will be kept confidential. Participation is voluntary and you may choose to withdraw at any time. You will be compensated for your time.

Please fill out this form to indicate your interest in participating in an online one-on-one interview.

Full Name *
Age *
Gender *
City and State *
Contact Number *
Contact Email *
College Name *
Course of study *
Year of College (or Year of Graduation) *
Which of the following communities do you identify with? *
Do you identify with any of the following social locations?
Is there anything else about your social identity or background you’d like us to know?
Preferred Language for Interview? *
Required
Preferred day of week and time for interview *
Consent: *
Will you be able to find a confidential space for the interview to maintain privacy? *

Thank you for signing up! We will get in touch with you shortly with more details about the next steps. Please let us know if you have any accessibility needs.

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report