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Intake Questionnaire- Adult ADHD and Social Media Study
Please complete answer the questions below to be considered for the study. You will be notified by email using the contact information you provide below. Thanks for your time and consideration.
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Email
*
Your email
What's your name?
Your answer
Gender
Male
Female
nonbinary
Clear selection
Are you between the ages of 18-35?
Yes
No
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Age
Your answer
Race
White
Black
Hispanic
Asian
Indigenous
Pacific Islander
More than one race
Prefer not to say
Clear selection
Occupation
Your answer
Have you been diagnosed with ADHD by a medical professional or a mental health professional?
Yes
No
Clear selection
Do you spend more than 3 hours on social media a day?
Yes
No
Clear selection
Please provide a contact number and email address where you can be contacted to participate in this study.
Your answer
A copy of your responses will be emailed to the address you provided.
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