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Investigator Form
Are you a scientist interested in obtaining donor samples? Please fill out our brief questionnaire below!
Personal Information
First Name*
Last Name*
State*
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Texas
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Utah
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City*
Institution*
Email*
Project Specific Interests
What diseases, conditions, or traits you are interested in studying?
Are you primarily interested in samples from individuals with a particular disease stage, age group, or demographic?
Are you looking for samples from a specific geographic region or population?
Biomarkers & Genetic Information
Are there specific biomarkers or genetic information you are looking to analyze in your research that you want to use to identify donors?
Sample Requirements
Do you have a specific interest in samples from individuals with certain disease stages, age groups, or demographics?
Saliva samples (Any specific volume, collection kit, or preservation method requirements?)
Urine samples (Any specific volume, collection kit, or preservation method requirements?)
Stool samples (Any specific volume, collection kit, or preservation method requirements?)
Additional Donor Samples
Would you be interested in any other types of donor samples?
Sample Quantity and Timeframe
How many samples are you aiming to collect for your study?
What is the timeframe for sample collection and data acquisition for your research?
Family History and Longitudinal Samples
Are you specifically interested in samples from individuals with a family history of the disease or condition you're studying?
Yes
No
Do you require longitudinal samples from the same individuals over time?
Yes
No
Study Design
Are you conducting a cross-sectional study or an intervention-based study?
What level of participant consent and privacy protocols do you require for your research?
Additional Clinical Data
Are you interested in receiving additional clinical data or medical history along with the samples?
Yes
No
(Optional) Provide more detail, if necessary
Control or Reference Groups
Are you interested in receiving samples from healthy donors as control or reference groups?
Yes
No
Sample Analysis
How do you plan to analyze the collected samples? Are you utilizing specific laboratory techniques or technologies?
IRB Approval and Additional Information
Has the research protocol been IRB approved?
Yes
No
Additional Information
Is there any other information that we should be aware of?
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