Question Title * 1. This survey is being conducted by Adler Weiner Research in order to determine your eligibility for a focus group or interview about which you have been contacted. At no point are your individual answers ever sold or shared with our clients (aggregate data or anonymized summaries of the overall survey information may possibly be shared with our clients, however). This survey serves solely as a means for screening. Once the project has been completed this data will be deleted. For more information please see:Right to Opt-Out InfoFinancial Incentive InfoAdler Weiner Privacy Policy I consent to Adler Weiner Research collecting, storing and processing my personal information for the purpose of determining my eligibility for this market research focus group or interview. I understand and consent to the following: That should I be eligible for participation in this market research focus group or interview, my contact information (phone, email, and home address) may be shared with the client for purposes related only to this particular project and are not limited to: screening calls to further determine eligibility, sending of "homework" or pre-session assignments via email, allowing access to an online platform via email, or for in-home interviews conducted at your residence. Question Title * 2. CONTACT INFO Please provide the following: Name * Address * Apt # if applicable City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * Question Title * 3. Thanks again for your interest in our IN-PERSON Medical Devices Group!The study is taking place at our Off-site Research Office in Pasadena and can be scheduled to take place any time between Tuesday, January 13th - February 3rd.The study will require TWO in person commitments over the period of TWO consecutive days where you will help evaluate this drug delivery medical device. Please check off if you'd be available. If you qualify and we have a spot for you, we will be in touch!Please keep in mind this does NOT mean you are recruited for the project; you MUST be contacted by a recruiter. Yes No Question Title * 4. Are you currently under a physician’s care for the treatment of any of the following? Liver diseases including MASH, MASLD, MASH with Fibrosis, or MASH with compensated cirrhosis Type 2 Diabetes Type 2 Diabetes with Fatty Liver Disease No Next
