Child Participant
Please confirm that you are the parent/guardian of the child you are completing this survey for.
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Yes
No
Today's Date
Please answer the following questions about your child.
Participant's first name:
must provide value*
Participant's last name:
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Participant's date of birth:
must provide value*
Please answer the following questions about you (parent/guardian).
Your full name:
must provide value*
Email:
must provide value*
Phone Number:
must provide value*
Preferred Method of Contact (select all that apply)
Phone
Email
When is the best time to contact you?
Mornings (8am-11am)
Afternoon (11am-4pm)
Evenings (4pm-8pm)
Please select what type(s) of studies you would like to be contacted about:
Brain imaging (in-person only)
Online studies (online only)
Korean-English Bilingual Study
How did you hear about this study?
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