BANDA Parent Sign up form

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We are conducting a research study looking at brain connections in adolescents between 14 and 16 years old. To find out whether this study is a good fit for you and your child we assess your eligibility in two ways: through this brief online survey and a phone call. This form should take roughly 2 minutes minutes. The form requires you to submit some kind of identifier (e.g., your name, initials, or nickname), and an e-mail address, so you are providing us with some identifying information.

The information you share will be kept confidential within the research team and saved electronically through the HIPAA-compliant REDCap server within the Partners network.

This form is voluntary and you may refuse to answer any question.

You may be contacted via phone by a study researcher to discuss you and your child's experiences and potential eligibility.

Thank you!

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.