Wake Research is conducting this survey to better understand patients’ interest in future COVID-19 clinical research. Please answer the questions below.

Question Title

* 1. I would be interested in learning more about a study for an investigational COVID-19 diagnostic test if that becomes available.

Yes

No

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* 2. I would be interested in learning more about a study for an investigational COVID-19 vaccine if that becomes available.

Yes

No

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* 3. I would be interested in learning more about a study for an investigational COVID-19 treatment or prophylaxis if that becomes available.

Yes

No

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* 4. I would be interested in learning more about a study for individuals who had COVID-19.

Yes

No

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* 5. Thank you for participating. If you selected yes to any of the questions above we'll use this contact information to notify you about clinical trials should they become available.
**By filling out this form, you agree to be contacted by phone, email, or text about this and other clinical research studies. You can opt-out at any time by contacting us at recruitment@wakeresearch.com.
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First Name *

Last Name

City *

State *

Zip/Postal Code *

Email Address *

Phone Number *