Interest in Alzheimer's Projects

Thank you for your interest in our projects on Alzheimer's Disease / Dementia! We receive multiple projects each year regarding Alzheimer's disease, Dementia, and other memory loss disease.

We will reach out with the details of our next project to see if you are interested. If you have any questions regarding our recruitment process, please email Alex at alex@lagripperesearch.com.

Thanks in advance! We appreciate your time and interest.

Question Title

* 1. Please fill out the following contact information:

First Name

Last Name

City

State

ZIP/Postal Code

Email Address

Phone Number

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* 2. Are you diagnosed with Alzheimer's Disease or another memory loss condition, or do you support a loved one with Alzheimer's Diseaseor another memory loss condition?

I have been diagnosed with Alzheimer's Disease or another memory loss condition

I care for someone who has been diagnosed with Alzheimer's Disease or another memory loss condition

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* 3. Would you consider your/their Alzheimer's Disease or memory loss condition mild, moderate, or severe?

Mild

Moderate

Severe

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* 4. Please indicate the types of research you would be interested in:

Online Community (completing prompts and questions online, logging in over the specified period of time)

Individual Virtual Interviews (Webcam interviews between you and a trained moderator)been diagnosed with Alzheimer's Disease or another memory loss condition

Group Virtual Interviews (Webcam interviews with you, 1-4 other people, and a trained moderator)

Individual In-person interview

Group in-person interview