Daily Life Study Intake form

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Thank you for your interest in our study! The purpose of this study is to measure aspects of personality, cognitive functioning, emotional processes, and experiences in your daily life. This project is funded by the National Institutes of Mental Health, and we are seeking adults between the ages of 18 and 55 to participate.

Email *

Name: *

Phone Number *

What is your preferred method of contact?

Phone call

Text message

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Are you at least 18 years of age? *

Yes

Please indicate your age *

Please indicate your gender *

Male

Female

Non-binary

Other:

What ethnicity best describes you? *

Hispanic or Latino

NOT Hispanic or Latino

What race best describes you? *

American Indian/Alaska Native

Asian

Indian

Native Hawaiian or Other Pacific Islander

White

Black or African-American

More than one race

Other:

Do you have a access to a smartphone? *

Yes

How did you hear about us?

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