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Welcome to MindMate Research!

Health research changes people’s lives every day. Researchers still need your help. Many studies end early because there are not enough volunteers. We want to advance research and help by matching you with research studies. More information about the eligibility criteria:

- Male or female
- 18 + years of age
- If you qualify and participate in this study, you may be eligible for compensation.

Your name and contact information will not be shared and your answers will remain confidential. We will not use your information for any purpose other than to screen you for potential participation in this research study.

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1. Do you have any of the following medical conditions?

Arthritis

Anxiety or Depression

Cancer

Diabetes Type 1

Diabetes Type 2

Eczema (Atopic Dermatitis, Psoriasis, or other skin condition)

High Blood Pressure

HIV

Liver Disease

Lupus

Multiple Schlerosis

Bleeding condition

Immune-mediated disease (pIMD)

Renal Disease

None of the above

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2. Do you have a pre-existing medical condition that is not mentioned above?

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3. Is your medical condition under control, for example with medication?

Yes

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4. Please list all prescription medications you are currently taking.

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5. Please list all the over-the-counter treatments or vitamins you take on a regular basis?

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6. Would you be interested in participating in potential vaccine trials?

Yes

I'd like to know more

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7. If female, do you spend at least 8 hours a week around children age 5 and younger?

Yes

N/A

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8. Have you previously tested positive for COVID-19?

Yes

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9. Do you have any history of severe hypersensitivity reactions or anaphylaxis?

Yes

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10. Have you received any live vaccines in the last 8 weeks?

Yes

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11. Do you currently need a colonoscopy?

Yes

I'm not sure

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12. Do you have a history of alcohol or drug abuse in the past 12 months?

Yes

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13. Do you have a history of cancer within the past 2 years?

Yes

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14. Are you currently enrolled in a clinical trial and receiving a treatment?

Yes

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15. If female, are you currently pregnant or breastfeeding?

Yes

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16. If female, are you post-menopausal?

If yes, for how long have you been post-menopausal?

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17. If female, are you surgically sterile?

If yes, what type of procedure did you have and, can you provide documentation of the procedure?

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18. How tall are you in feet and inches?

Feet

Inches

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19. How much do you weigh in pounds?

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20. What is your date of birth (please use the following format MM/DD/YYYY)?

What happens next?

Our research partner will email or call you to complete your assessment and answer any questions you may have. This assessment is free and confidential, and you are under no obligation to participate in the study.

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21. What is your first name?

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22. What is your last name?

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23. What is your email?

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24. What is your cell number?

We prefer a cell number so we can send study updates via text but, you can provide us with an alternative if necessary.

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1. Do you have any of the following medical conditions?

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2. Do you have a pre-existing medical condition that is not mentioned above?

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3. Is your medical condition under control, for example with medication?

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4. Please list all prescription medications you are currently taking.

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5. Please list all the over-the-counter treatments or vitamins you take on a regular basis?

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6. Would you be interested in participating in potential vaccine trials?

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7. If female, do you spend at least 8 hours a week around children age 5 and younger?

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8. Have you previously tested positive for COVID-19?

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9. Do you have any history of severe hypersensitivity reactions or anaphylaxis?

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10. Have you received any live vaccines in the last 8 weeks?

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11. Do you currently need a colonoscopy?

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12. Do you have a history of alcohol or drug abuse in the past 12 months?

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13. Do you have a history of cancer within the past 2 years?

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14. Are you currently enrolled in a clinical trial and receiving a treatment?

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15. If female, are you currently pregnant or breastfeeding?

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16. If female, are you post-menopausal?

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17. If female, are you surgically sterile?

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18. How tall are you in feet and inches?

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19. How much do you weigh in pounds?

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20. What is your date of birth (please use the following format MM/DD/YYYY)?

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21. What is your first name?

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22. What is your last name?

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23. What is your email?

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24. What is your cell number?

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25. What is your ZIP/Postal code?

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26. What is a good time for the researcher to contact you?

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27. Anything else you would like to tell the research team?