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MindMate Research -COVID-19

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:

- Male or Female
- Aged 18 and over
- If you quality you will receive treatment free of charge and you could 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 been diagnosed with COVID-19 (Sars-CoV2) in the past 7 days?(Required.)
2.Are you currently experiencing symptoms of COVID-19 (Sars-CoV2)?(Required.)
3.Please describe your current symptoms (put n/a if not applicable). For example lost taste or smell, fever, cough, shortness of breath, chest pain, abdominal pain, nausea/vomiting, diarrhea, body aches, weakness/fatigue.(Required.)
4.Do you stay or work in an environment where there are multiple people with COVID-19 (Sars-CoV2) such as a hospital or nursing home?
5.Are you willing to take study approved medication such as a nasal spray?
6.How would you describe the severity of your current symptoms?(Required.)
7.Do you have a history of any of the following pre-existing conditions?(Required.)
8.Please list any pre-existing conditions not mentioned above.(Required.)
9.Please list any medications you are currently taking (put n/a if not applicable)(Required.)
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.)
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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