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CNF 2021 Telehealth Data Gathering Interest Survey for Caregivers

Please fill out the below survey to demonstrate your interest in participating in CNF's focus groups and/or interviews this summer. Focus groups will be scheduled after notification and take place before August. Please email Jessica Nickrand with any questions or concerns at jnickrand@childneurologyfoundation.org
1.Are you a parent or caregiver to children experiencing any of the following symptoms? Please check all that apply.(Required.)
2.How do you racially identify? Please check all that apply.(Required.)
3.Why do you want to participate in this focus group?(Required.)
4.Please enter contact information below.(Required.)
Current Progress,
0 of 4 answered