Thank you for your interest in becoming a stool donor!

Please answer all questions of this survey completely (there are multiple pages!) to be considered for the next phase of the application process. This survey should not take you more than 5 minutes to complete.

1. Please enter your contact information below:

3. What is your gender?

4. Will you be living or working in the greater Boston area for the next six months?

5. What is the ZIP code of your

Please select Next to move on to the next page of the survey!
By participating in this survey, you are agreeing to allow Finch Therapeutics clinical team to use the information you provide to help determine your eligibility as a stool donor. No one outside the clinical team will be able to connect your responses with any information that identifies you, such as your name, date of birth, email address, and other contact information. If you do not qualify for the stool donation program or choose not to participate, we will not keep any of your identifying information.
 
20% of survey complete.

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