Eligibility Survey - NYU Single Origins Study

1. Origins of Jewish People Eligibility

Can you help us in our study of the Origins of Jewish people? Please answer these questions to find out. Upon our review of your responses, we will notify you by email if you are eligible for this study or not.

1. Please provide your name and contact information.

Please provide your name and contact information. Name:
Email Address:
Phone Number:

2. Are all 4 of your grandparents of Ashkenazi (Eastern European) Jewish ancestry?

Are all 4 of your grandparents of Ashkenazi (Eastern European) Jewish ancestry? Yes

3. What town/city and country is your maternal grandmother (mother's mother) from?

What town/city and country is your maternal grandmother (mother's mother) from? Town/City within 100 mile radius
Country at that time

4. What town/city and country is your maternal grandfather (mother's father) from?

What town/city and country is your maternal grandfather (mother's father) from? Town/City within 100 mile radius
Country at that time

5. What town/city and country is your paternal grandmother (father's mother) from?

What town/city and country is your paternal grandmother (father's mother) from? Town/City within 100 mile radius
Country at that time

6. What town/city and country is your paternal grandfather (father's father) from?

What town/city and country is your paternal grandfather (father's father) from? Town/City within 100 mile radius
Country at that time