Research participants

By filling out this form, you understand that you are only inquiring about becoming a research participant and that it does not mean in any way that you will be selected to participate in one of the studies.

Policy regarding personal information:
The information that you are about to reveal in this form is strictly confidential. We will use this information solely for the purpose of our research and as a way to contact you if you are selected. We will never give your information to, or share your information with, any third party. This information will be kept in a closed file for the duration of the study and will be destroyed upon its completion.

Homme / Men Femme / Woman
Oui / Yes Non / No