Integrative Physiology of Aging Lab: Online Screening Form

Thank you for your interest in our studies assessing physiological function with age! Before you come in to learn more about our studies, we'd like to see if you may qualify. In order to do this, we'll ask you about demographics, availability, physical activity, smoking/alcohol use, and medical history. The survey will take 15-20 minutes to complete, and you will need to complete it in one sitting. You can skip questions you're uncomfortable with, but not answering most questions may affect your eligibility. Your responses are confidential, will only be used for research purposes, and stored securely on REDCap, a HIPAA-compliant platform.

Before your first visit, you'll need to fast (no food/drink except water for 3-12 hours depending on the study) before the screening blood draw. This may cause you to feel lightheaded, dizzy, and/or weak. You may also be asked to avoid certain medications, alcohol/tobacco/marijuana, and strenuous exercise 24-48 hours prior to your first visit.

Participation in this pre-screening survey is voluntary. Your contact information will be saved and stored, and you may be contacted for any future studies that you may qualify for. If you do not want to be contacted for other/future studies, select "No" when asked. If you change your mind, please contact us to update your preferences. If you agree to participate in this pre-screening survey, please continue filling out the survey below; if not, simply exit without entering any information.

 For questions, call us at (303) 735-6410 or email ipalab@colorado.edu. You can also contact the University of Colorado - Boulder IRB, the Ethics Board that oversees our research, at (303) 735-3702, in case you have any questions or concerns for them. After you complete the survey, we will review your responses and contact you regarding your participation within 10 business days. Thank you for your time!

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