Participants Needed

Thank you for your interest in our cholesterol study.  This study explores the effect of an oat ingredient on cholesterol levels.  This study involves consuming beverages at home for 4 weeks and 5 visits to our downtown Toronto clinic over 6 weeks, where blood samples and questionnaires will be collected.  Participants will receive $450 if they successfully complete the study.

Please answer the following questions so that we can determine if you are eligible to participate in the study.  Completion of this survey is entirely voluntary and you can choose to discontinue the survey at any time.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3.  What is your email address?

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* 4. What is your phone number?

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* 5. Are you male or female? (male/female)

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* 6. Are you currently pregnant, planning to become pregnant, or breastfeeding?

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* 7. Please Enter Your Date of Birth (eg: DD/MM/YYYY)

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* 8. What is your height? (please use centimeters, not feet and inches)

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* 9. What is your weight? (please use kilograms, not pounds)

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* 10. Are you willing to refrain from consuming oat products, barley and psyllium husks during the study intervention period (4 weeks)?

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* 11. Have you gained or lost more than 15 lbs over the past 3 months?

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* 12. Do you drink more than 2 alcoholic drinks per day?

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* 13. Do you regularly smoke more than 5 cigarettes per day or use a nicotine patch or gum?

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* 14. Do you use a vaporizer?

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* 15. Do you currently use cholesterol-lowering medication or medication to treat diabetes?

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* 16. Have you been diagnosed with any medical conditions or disorders? 

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* 17. If yes, please list them here

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* 18. Do you have any allergies/food sensitivities?

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* 19. If yes, please list them here

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* 20. Do you have travel plans outside of Canada / USA in the next 6 weeks?

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* 21. Have you had cancer (other than non-melanoma cancer) in the past 2 years?

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* 22. Have you had a major trauma or been hospitalized for a medical condition in the past 6 months?

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* 23. Do you provide us with your consent to maintain your personal information provided in this survey within our database and to be contacted for future studies?

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