I am interested in more information about this research study.

By entering your information below, you are agreeing to be contacted with more information about the research study.
Providing your information does not confirm your participation.
Please note: The researcher is currently in the process of analyzing interview data. After analysis, based on needing good representation of all first responders, she may contact you up to 3 months after submitting your information.
Thank you for your interest in this study!

* 1. Please enter your first name and the first initial of your last name (Ex. John D.)

* 2. Please provide your phone number.

* 3. You can leave me a voicemail at the above number.

* 4. Please provide an email address if you prefer this method of contact:

* 5. What is your gender?

* 6. Describe race/ethnicity:

* 7. Region of the state in which you work as a first responder:

* 8. Do you work with a paid or volunteer department?