Skip to content

Interest Form

Interest Form

You were contacted because you have been identified as someone who may meet our inclusion criteria. This study is looking at how having a sibling with a disability affects mental health. If you are still interested in participating, please fill out the questions below. If you have questions that you would like answered, please contact us:

Rebecca Abel and Sienna Miley
Email: smiley@gm.slc.edu
Phone: 518-937-7520
1.What is your first name?
2.How old are you?
3.What is your email?
4.What is your parents email? 
5.What is a good phone number to reach you at? 
6.We plan on using email as the main contact method. Does this work for you?
7.Please select the following that apply to you:
8.Please describe your sibling's disability.
9.Do you have a disability?
10.If yes, please describe.