Am I Eligible?

To learn more and to see if you or your child may be eligible to participate in the ADORING study, take our brief online questionnaire.

You must be 18 years old to submit this form.

If you are under 18, please have your parent or guardian fill out this form.

For parents or guardians of those under 18, please use your name for the study contact information but answer the other questions based on your child’s condition.

Please note: All health-related information you provide will remain completely confidential and will only be used to determine if you may be eligible to participate.

Let’s Begin

By clicking Begin, you agree to provide your health-related information for the purpose of determining if you may be eligible to participate in the ADORING study.