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MindMate Research - Chronic Cough

Welcome to MindMate Research!

Health research changes people’s lives every day. Researchers still need your help. Many studies end early because there are not enough volunteers. We want to advance research and help by matching you with research studies. More information about the eligibility criteria:

- Female
- Aged 18+
- If you qualify and complete the study you may be compensated for time and travel

Your name and contact information will not be shared and your answers will remain confidential. We will not use your information for any purpose other than to screen you for potential participation in a research study.
1.Have you ever been diagnosed with unexplained or
refractory chronic cough by a physician?(Required.)
2.How long have you been coughing?(Required.)
3.Do you sometimes leak urine when you cough?(Required.)
4.Do you have a history of smoking?(Required.)
5.How many years did you smoke? (Please put "N/A" if you have never smoked)(Required.)
6.About how many cigarettes per day did you smoke? (Please put "N/A" if you have never smoked)
7.Have you had surgery to treat stress urinary
incontinence (SUI) in the past year?
8.Have you had a specialized treatment to treat stress
urinary incontinence (SUI)? This includes an
intravesical balloon or urethral bulking agent
therapy.
9.Do you currently use a pessary or other external
incontinence device to treat your stress urinary
incontinence?
10.Are you currently pregnant or breastfeeding?
11.Are you currently participating in another research study?
12.How tall are you in feet and inches?(Required.)
13.How much do you weigh in pounds?(Required.)
14.What is your date of birth (please use the following format MM/DD/YYYY)?(Required.)
What happens next?

Our research partner will email or call you to complete your assessment and answer any questions you may have. This assessment is free and confidential, and you are under no obligation to participate in the study.
15.What is your first name?(Required.)
16.What is your last name?(Required.)
17.What is your email?(Required.)
18.What is your cell number?(Required.)
We prefer a cell number so we can send study updates via text but,  you can provide us with an alternative if necessary.
19.What is your ZIP/Postal code?(Required.)
20.What is a good time for the researcher to contact you?
21.Anything else you would like to tell the research team?
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