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Required format:

Interest Form - SPOT Lab, PI: Uhler

Hello!

Thank you so much for your interest in our pediatric research. Below are flyers for our actively enrolling studies. These flyers include information about enrollment criteria, time comittment, and compensation.

Please complete the survey below and a member of the study team will contact you with more information within 1-3 business days.

Thank you,
Speech Perception and Language Over Time (SPOT) Study Team
SPOT@UCDENVER.EDU
Office: 303-724-9262
Cell: 385-350-3271

¡Hola!

Muchas gracias por su interés en nuestra investigación pediátrica. A continuación se muestran folletos de nuestros estudios que se inscriben activamente. Estos folletos incluyen información sobre los criterios de inscripción, el compromiso de tiempo y la compensación.

Complete la encuesta a continuación y un miembro del equipo del estudio se comunicará con usted para brindarle más información dentro de 1 a 3 días hábiles.

Gracias,
Equipo de Estudio de la Percepción del Habla y el Lenguaje a lo Largo del Tiempo (SPOT)
SPOT@UCDENVER.EDU
Oficina: 303-724-9262
Celular: 385-350-3271

What is your preferred language?
¿Cuál es tu idioma preferido?

English/Inglés

Spanish/Español

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Developmental Research Study for infants between 1 month to 12 months old

Contact Name:

Nombre de contacto:

Phone:

Teléfono:

Email:

Correo electrónico:

Preferred method of contact:

Phone

Text

Método de contacto preferido:

Correo electrónico

Teléfono

Texto

Child's name:

Nombre del niño/a:

Child's gestational age at birth (i.e., duration of pregnancy):

Edad gestacional del niño/a al nacer (es decir, duración del embarazo):

Child's date of birth:

M-D-Y

Fecha de nacimiento del niño/a:

M-D-Y

Calculated age in months:

View equation

Edad calculada en meses:

View equation

Child's Age (in months/weeks):

Edad del niño/a (en meses/semanas):

Child's Age:

Months

Weeks

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Edad del niño/a:

Meses

Semanas

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Does your child currently use hearing aids?

Yes

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¿Su hijo/a utiliza aparatos auditivos?

Sí

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How did you hear about the SPOT study?

Flyer

Social Media (Facebook)

Social Media (Instagram)

Audiologist or therapy referral

Friend or family

Other

¿Cómo se enteró del estudio SPOT?

Folleto

Redes sociales (Facebook)

Redes sociales (Instagram)

Referencia de audiólogo o terapeuta

Amigo o familiar

Otro

If other, please explain:

Si es otro, por favor explique:

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.