The code block below illustrates how one might use # and // as comments in your logic and calculations.

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The value you provided must be within the suggested range

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This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

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Required format:

sSurzRnWba7wMww9dafmUVoIdp9mxC6QNM4AorpYU7KaGLDCsoPHRLPXyro7

Pre-Screening Questionnaire

If you would like to see if you may qualify for the study, please answer the following questions about your health and medical history. Some of the questions may make you feel uncomfortable. You can stop at any time.

You will only be asked to provide your contact information if it appears you may qualify for the study.

The risk of recording your name with your answers is a loss of confidentiality. We will take reasonable steps to protect the confidentiality of your information.

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To see if you might qualify for the RADIANCE-HTN Clinical Study, and to get connected directly with your local study center to learn more, please take the questionnaire below. If you have questions, or if you would prefer to complete this pre-screen survey by phone, please call Danny at (617) 643-1372.

How did you first learn about the RADIANCE-HTN Clinical Study?

* must provide value

Internet - Facebook

Internet - Web Search/Browsing

Internet - Clinicaltrials.partners.org

Internet - RSVP for Health

Radio

Newspaper/Magazine

Friend/Family

Physician Referral

Other

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If you qualify and choose to join the study, would you be able to travel to Massachusetts General Hospital for your procedure and 7 follow-up visits over the first year, and then 2 additional annual visits? The visits would be during normal business hours (8am - 5pm, Monday - Friday). (Please note: you will be reimbursed for your time and travel).

* must provide value

Yes

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What is your age?

* must provide value

Less than 18

18 - 35

36 - 45

46 - 55

56 - 65

66 - 75

76 or older

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What is your usual blood pressure? Please list all medications and supplements you are currently taking. If you do not take any medications, please enter "None."

* must provide value

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Do you have Type 1 diabetes?

* must provide value

Yes

Unsure

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If you have Type II diabetes, is your HbA1c ≥ 9.0%?

* must provide value

Yes

Unsure

Not Applicable

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Have you had a stroke or heart attack? If you've had more than one, please answer based on the most recent one:

* must provide value

Yes, within the past 3 months

Yes, more than 3 months ago

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Do you have ulcerative colitis or Crohn's disease?

* must provide value

Yes

Unsure

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Do you have a pacemaker, ICD (Implantable Cardio-Defibrillator), or any other active implantable device?

* must provide value

Yes

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The purpose of the study is to evaluate the Paradise Renal Denervation System, which is an investigational device designed to lower blood pressure through a minimally-invasive, catheter-based procedure. Are you willing to consider a minimally-invasive procedure for your blood pressure?

* must provide value

Yes

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As part of this study, you may be requested to stop, or change your blood pressure medications for a short period of time. This is carefully monitored by your research team to ensure everything is as safe as possible. Would you be willing to do this, if requested by your study doctor?

* must provide value

Yes

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Does your job require you to ever work the night shift? (For example, from 11 pm - 7 am, or similar hours that require you to sleep during the daytime

* must provide value

Yes

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Are you currently pregnant, nursing, or plan to become pregnant within the next 3 years?

* must provide value

Yes

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Are you currently involved in any other clinical trials that involve an investigational drug or device?

* must provide value

Yes

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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.