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Accelerant Research Screener

Page One

Thank you for agreeing to participate in today’s screening questionnaire. The purpose of this questionnaire is to determine your eligibility in a specific study we are conducting. There are no wrong answers, just your personal opinion. Remember, we are not trying to sell you anything, and we will keep your identity completely anonymous, so please feel free to be completely honest. We may ask for your contact information, but it will only be used in order to provide you with more information about the study and to coordinate with your schedule.

Thank you very much for your time.