I AM Study

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Required format:

4vQDc3h5kczjLzJWhhwZTWJqhjP6RmsIWx46rqsVrnUdBipLEtYUIuYdphE56uWf7xef3veY43wmiWhkrs8h4PIurs24GVZFbdVbgyHWDM3jMIHe7gaLUQUp

Thank you for your interest in the I AM Study!

We are recruiting participants for a research study on the earliest brain changes that may lead to Alzheimer's disease. Please provide your information below if you:

- Are between the ages of 45-85

- Have English as your first/primary language

- Are interested in participating in a research study that involves an MRI scan, PET scan, testing of your memory and thinking skills, and a fasting blood draw.

- Are generally healthy (i.e. with no significant and unstable medical, mental health, or brain-related conditions)

- Do not have problems with memory and other thinking skills, beyond what can be expected with age

Providing your information here only indicates that you agree to be contacted by a researcher who can give you further details and can answer your questions about our study. That is, by providing your information here, you are not "signing up" for this study; you may decline your interest or desire to participate in our research at any time. The information you provide here will be kept confidential and will be stored in a secure server at MUSC.

Thank you very much again for your interest!

Sincerely,

The I AM Study Team

MUSC IRB# Pro00073604

I heard about this study through:

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First Name

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Last Name

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Date of Birth

M-D-Y

Gender

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Is English your first/primary language

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Yes

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Phone Number

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E-mail

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The best day/s of the week that you prefer to receive a call from us would be:

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Monday

Tuesday

Wednesday

Thursday

Friday

The best time/s of day that you prefer to receive a call from us would be:

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Morning/s, from 8:00am-11:00am

Mid-day, from 11:00am-1:00pm

Afternoon/s, from 1:00pm-4:00pm

Late afternoon/s, from 4:00pm-6:00pm

Street Address

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City

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State

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Zip Code

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If we have fulfilled our recruitment target for this study, may we keep your contact information so we can let you know about future studies similar to this one?

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Yes
No
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Optional: If you have any comments, please write them here.

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