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Virtual Research Study Seeks Peripartum Black Women

Consent to Continue

After completing this brief questionnaire, more detailed information will be given to you before you decide whether or not to take part in the research, and you will have the opportunity to speak with and ask questions of a study coordinator. You can stop this interview at any time.
Please note that by completing this questionnaire, you consent to us collecting your answers to the questions, including your contact information.  All information you provide in this questionnaire will be held in strict confidence, and shared only with the research center conducting the study. Vital Research will delete your information from our records upon your request. While completing the questionnaire you will have the option to join our mailing list to be contacted via email about future clinical trials for which you may be eligible. You will not be contacted about future trials if you choose not to sign up to our mailing list.

For your reference, please find a link to the Vital Research Privacy Policy.

Please note:
Due to the current situation with the COVID-19 pandemic, the study team would like to note the following:
  • This is a virtual study which means you can participate in the comfort of your own home.
  • There will be no in-person visits or clinic appointments in this study.
  • In this study, there is no need to have close interactions with any person.

Are you willing to continue? *This question is required.