Request edit access
Bionic Arm Research Studies
The Center for Neural Interfaces at the University of Utah is seeking volunteer participants with upper-limb loss for bionic arm research studies. Participants will be asked to evaluate state-of-the-art bionic arms that are controlled by thought and provide touch sensation back to their user. Financial compensation will be provided. You will be paid $40.00 per hour up to a maximum of $250.00/day for your time and travel. It is expected that there may be one to three sessions of testing and that each session will last from 30 minutes to 3 hours. Participants from out of town participating in multiple days of testing may also receive complimentary lodging. Participants will need to arrange their own transportation to the University of Utah Clinical Neuroscience Center (175 N Medical Dr, Salt Lake City, UT 84132) and be available for the entire duration of the study.

If you are interested in participating in the bionic arm research studies, please fill out the form below. A study coordinator will follow up with you provide additional information and schedule a meeting time.
Sign in to Google to save your progress. Learn more
Email *
First name *
Last name *
Phone number *
Preferred contact method *
Earliest start date
MM
/
DD
/
YYYY
Preferred Day(s)
Preferred Time(s)
Cause of amputation (congenital or traumatic; if traumatic, please specify event that led to amputation) *
Is amputation unilateral or bilateral? (One arm or both arms) *
Location of amputation *
Time since amputation *
Do you experience phantom limb pain? If so, do you use anything to treat it? *
Confirmation *
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

Google Forms