Study registration form First name: Sex: Phone numbers (one of the two phone numbers is mandatory) Please indicate the day and moment at which it is preferable to contact you by clicking the following options: MondayTuesdayWednesdayThursdayFridaySaturdaySunday Morning (8:30 to 11:00 am)Afternoon (1:00 to 4:00 pm)Evening (5:00 to 8:00 pm) Email address: (You can also send us a text message at this phone number: 514 292-7056) Study name that interests you:HEPCO StudyECHO StudyOPTIMA StudyTHC-CBD StudySPICE surveys 1. Have you participated in one of our clinical studies in the past?YesNo (If yes, indicate which one and when) 2. How did you hear about our clinical studies?FacebookInstagramLinkedinKijijiGoogle searchYour physician or other healthcare professionalCHUM research centerMedias (newspapers, TV, radio)Advertisement in public spaceA friendFamilyNewsletterAnother organism Would you like to be informed of our future projects? (by clicking this box, you accept to receive our newsletter) I have read and acknowledged the selection criteria and the course of the selected study. I consent to be contacted by a member of the staff for validating my candidacy and for establishing a first clinical appointment.
