Thank you for agreeing to take the following Asia Microbiota Bank Volunteer and Donor Health Survey.
We are looking for volunteers and donors who:
1. Are able to make regular visits (at least 3 times a week for 3 consecutive months) to our laboratory in Central area for stool collection.
2. Are exceptionally healthy.
Since people with severe illness may receive the stool bacteria you donate, we request your complete honesty in answering these questions. By filling out this survey, you consent to the Asia Microbiota Bank using this personal and health information for the purpose of evaluating your eligibility to become a qualified stool donor or scientific research volunteer. Any data collected will be kept confidential and used only for the purpose of the donors recruitment project.
PLEASE COMPLETE ALL THREE PAGES OF THE HEALTH SURVEY, OTHERWISE YOUR APPLICATION WILL NOT BE CONSIDERED.