CAVI Healthy Subject Data Collection Study Pre-Screening Questionnaire

This pre-screening questionnaire will help determine whether you meet the major requirements for participation in our study, and offer to send your contact information to the researchers if you appear to qualify. Other factors may also exclude you from participating in the study; answering this questionnaire does not guarantee that you will be able to participate.

There are 16 questions in this pre-screening questionnaire.

No information will be sent the researchers until you press "submit" at the end of the questionnaire. You may stop answering questions at any time and quit the questionnaire by closing the tab without pressing "submit" if you do not want the researchers to receive your information. Even if you press "submit" the researchers will not be able to identify you unless you provide your contact information at the end of the questionnaire.