SurveyMonkey Powered Online Survey

Welcome to MindMate Research!

Health research changes people’s lives every day. Researchers still need your help. Many studies end early because there are not enough volunteers. We want to advance research and help by matching you with research studies. More information about the eligibility criteria:

- Male or female
- 65 years of age or older
- If you qualify and complete the study you may be compensated up to $1,500 for time and travel

Your name and contact information will not be shared and your answers will remain confidential. We will not use your information for any purpose other than to screen you for potential participation in this research study.

Question Title

1. Have there been any changes to your health in the last 4 weeks?

Yes

Question Title

2. Have you experienced a heart attack, stroke, or been diagnosed with peripheral artery disease?

Yes

Question Title

3. Have you in the past months experienced physical fatigue or loss of strength limiting your daily activities?

Yes

I'm not sure

Question Title

4. Have you had problems with any of the following activities?

Walking for a distance to go shopping or when going for a walk

Climbing a flight of stairs

Standing up from a chair or armchair

Lifting and carrying an object weighing more than 10 lbs?

None of the above

Question Title

5. Are you currently on any treatments involving anabolic drugs
(i.e. testosterone)?

Yes

I'm not sure

Question Title

6. Have you had a flu vaccination within the past year?

Yes

Question Title

7. Do you have a known allergy to components of semmacantha carthamoides leaves and roots?

Yes

I'm not sure

Question Title

8. Do you have any of the following conditions?

Major psychiatric disorder

More than 14 alcoholic drinks per week

Severe arthritis

Cancer requiring active treatment

Lung disease requiring the use of supplemental oxygen

HIV, HBV, HCV

Parkinson’s disease or other progressive neurological disorder

Diabetes

Renal disease requiring dialysis or known renal insufficiency

Anemia

COPD

Sleep Apnea

Asthma

High Blood-Pressure

Organ or Bone marrow transplant

None of the above

Question Title

9. Are you currently in any physical/rehabilitation therapy?

Yes

I'm not sure

Question Title

10. Do you have uncontrolled diabetes?

Yes

Question Title

11. Are you currently taking any prescribed medications? (Please list or put "N/A")

Question Title

12. Are you on disability or have a pending claim for a potential life-threatening chronic disorder

Yes

Question Title

13. Do you have any of the following conditions?

Uncontrolled hypertension (systolic blood pressure >200mmHg, or diastolic blood pressure >100mmHg)

Stroke, hip fracture, hip or knee replacement or spinal surgery in the past 6 months

Heart arrhythmic disorder necessitating treatment

Myocardial infarction, major heart surgery (i.e., valve replacement or bypass surgery), deep vein thrombosis, or pulmonary embolus in the past 6 months?

Severe burns

Liver dysfunction

Autoimmune disorders

Sleeping problems/Insomnia

Received any blood donations in the last 4 months

Severe allergic reaction to a vaccine

Recurring eczema/hives, which require oral or injectable medication in the last year

Hepatitis A, B, C

Diabetic retinopathy / Diabetic Maculopathy

None of the above

Question Title

1. Have there been any changes to your health in the last 4 weeks?

Question Title

2. Have you experienced a heart attack, stroke, or been diagnosed with peripheral artery disease?

Question Title

3. Have you in the past months experienced physical fatigue or loss of strength limiting your daily activities?

Question Title

4. Have you had problems with any of the following activities?

Question Title

5. Are you currently on any treatments involving anabolic drugs(i.e. testosterone)?

Question Title

6. Have you had a flu vaccination within the past year?

Question Title

7. Do you have a known allergy to components of semmacantha carthamoides leaves and roots?

Question Title

8. Do you have any of the following conditions?

Question Title

9. Are you currently in any physical/rehabilitation therapy?

Question Title

10. Do you have uncontrolled diabetes?

Question Title

11. Are you currently taking any prescribed medications? (Please list or put "N/A")

Question Title

12. Are you on disability or have a pending claim for a potential life-threatening chronic disorder

Question Title

13. Do you have any of the following conditions?

5. Are you currently on any treatments involving anabolic drugs
(i.e. testosterone)?