Phelps Lab Subject Database
Please fill out the form below.

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Name *
Your answer
E-mail
Your answer
Sex
DOB (i.e. 1990-01-05)
YYYY-MM-DD
Your answer
What is your handedness?
What is your race?
Are you proficient in English? Are you proficient in other languages?
Currently reside in....
How long have you lived in the U.S.?
Would you like to participate in studies involving mild shocks? *
When was the last time you participated in a study involving mild shocks? (YYYY-MM-DD, i.e. 2010-01-19)
(GIVE US YOUR BEST GUESS) (leave this question blank if you have not participated in a study involving shock)
Your answer
Would you like to participate in studies involving fMRI (brain imaging)?
When was the last time you participated in a study involving fMRI? (YYYY-MM-DD, i.e. 2010-01-19)
(GIVE US YOUR BEST GUESS) (leave this question blank if you have not participated in a study involving fMRI)
Your answer
Have you ever participated in a study examining....
if you have not, please leave this field blank
When did you last participate in the above study? (YYYY-MM-DD, i.e. 2010-01-19)
(GIVE US YOUR BEST GUESS) (leave this question blank if you have not participated in a study examining...)
Your answer
Have you ever participated in a study looking at emotional images?
When did you last participate in the above study (viewing emotional images)?
YYYY-MM-DD, i.e. 2010, 01-19
Your answer
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