In order for us to ascertain whether you are eligible to take part in our pregnancy test study please complete the following questions, all information will be treated confidentially.

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* 1. Are you female and aged over 18?

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* 2. Do you wish to take a pregnancy test because you are or think you could possibly be pregnant?

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* 3. Can you confirm you

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* 4. Please tick what you feel best describes your current status-

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* 5. Are you happy to reveal your pregnancy status during the course of the study (to our nurse)

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* 6. Do you conduct pregnancy tests or analyse results with patients as part of your job?

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* 7. Do you use lateral flow devices or technology as part of your daily work?

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* 8. Have you taken a hormonal preparation containing hCG in the last month, i.e. Pregnyl? (hCG is used to cause ovulation and to treat infertility)

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* 9. If selected to take part, you may be required to collect a urine sample/s afterwards at home and complete some forms. These must be returned using pre-paid packaging. Could you confirm you would be happy to do this?

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* 10. Please tell us your date of birth

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* 11. If known can you tell us the date of your last period?

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* 12. If selected to take part you will need to get to The Hope Street Centre, 10 Hope Street, Sandbach, Cheshire, CW11 1BA- can you confirm that you would have no problem getting to this place from where you live?

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* 13. If selected to take part we will need to contact you by phone to book in your appointment. A nurse will also be contacting you post study to confirm any results

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* 14. If you are happy to be contacted by phone- please detail any times you would prefer not to be called or any details you would like us to bear in mind

The study will take part between 5th & 9th Sept, there are plenty of daytime and evening appointments, please only complete the application if you have some availability during this period to take part..

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* 15. Please detail your contact info below being sure to detail your preferred contact phone number?

Our recruiters will begin calling applicants from 20th Aug and will be calling people right up to 4th Sept. Please look our for their call and respond to their messages to get booked in.If you can no longer take part please let the recruiter know by way of text or call back at your earliest convenience so we can book in other applicants.
Many thanks for completing your details, we will be in touch if you are selected to take part to book in your appointment!

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