To make sure you qualify for the requested study, please fill out the following form. Once we receive your form we'll analyze it and then contact you using the form's contact details. Needless to say that all the personal details and information you provide will be kept totally secret and will not be transfered to any third party.
The only reason we request the information and ask you to fill out the form is to make sure that you can take part in the study. We may also use the form for sending you relevant information about the study, including emails.