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Middletown Post-Pandemic Community Study

Thank your interest in the Middletown post-pandemic study!

Please take a few moments to answer the following questions.

Your answers will help us select participants for the study. Should you qualify, someone with the Middletown Youth Services Bureau (MYSB) will contact you via email over the next 5 - 10 business days to schedule an interview time.

Your answers here won't be shared with anyone outside of the MYSB or the researchers leading this project.
Do you currently live in Middletown, Connecticut?
Please enter your first and last name.(Required.)
Please enter your email address.(Required.)
Please enter your mobile phone number.(Required.)
Are you comfortable having an online 1:1 interview over Zoom?(Required.)
Are you able to find 1 hour of uninterrupted time, on a weekday, between August 5 - September 30?(Required.)