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1. Have you ever been asked or considered participating in a clinical trial?

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2. If you have participated in a clinical trial, what were the reasons ? (tick as many and tick N/A if not applicable)

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3. If you have not participated in a clinical trial why ? (tick as many options and N/A if not applicable)

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4. What things would encourage you to participate in a clinical trial? Select all that apply

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5. Where would you like to hear or get information about clinical trials

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6. what is your gender?

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7. What is your ethnic background?

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8. What is your faith?

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9. What is your age group?

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10. In your opinion, what could be done to improve the participation of non white populations in clinical trials

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