Welcome!

Welcome and thank you for your interest in becoming a stool donor!

At this time, we can only accept donors who can regularly visit our donor sites in Somerville, Fenway/Kenmore, and Cambridge, Massachusetts. You must live or work in greater Boston to become a stool donor. 

This short questionnaire should take only a few minutes to complete.

* 1. Name

* 2. Email address

* 3. Phone Number: 

* 4. What is your date of birth?

Birthday
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* 5. Which of our locations would you prefer to be your primary donation site?

* 9. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 10. In what ZIP code is your work located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 11. What interests you in becoming a stool donor? (Check up to two that apply)

* 12. How did you hear about OpenBiome? (check all that apply)

Disclaimer: As of March 1, 2017, OpenBiome partnered with Finch Therapeutics to manage its stool donation programs. By completing this survey, you are consenting to release your answers to Finch Therapeutics. This information will be used to evaluate your eligibility as a stool donor. Your information will not be released to any entity for any other reason.
 
100% of survey complete.

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