If you wish to refer other African-born women between 18 and 45 years of age who live in Massachusetts or New York City, please let us know by filling out the form below. As a token of appreciation, if we confirm that the person fits these criteria, we will offer you $10 per referral (up to $30 total). There is no limit to the number of potential participants you refer to the study. Please ensure the referred individual is interested in the study before filling out this form.

Loading... Loading...
You have selected an option that triggers this survey to end right now.
To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.