Please verify your information FEDERAL WAY

Please take a moment and submit your responses to the questions to verify we have everything correct about you for your upcoming research study!

After completing this form, we will have you verified for participation in the study. Remember, you will be participating in an in-person research study in our research office in Federal Way, located at 500 S 336th Street (Suite #103). Watch your email for instructions so you can be sure you have everything you need to participate.

You will be taken to our online consent form after completing this page, please sign it as well so we have your consent to participate on file!

Name*
Email*
Please enter the email you have with us.
What is the best number to contact you at via phone?
Enter the year you were born, like 1999 or 1972.
Please enter a number from 1900 to 2050.
Which US County, Parish, or Township do you live in?
How many hours per week do you play PC Games?*
Select the best option
Do you plan on purchasing a Laptop / notebook computer in the next 18 months?*
How would you like to receive your participation incentive? Digital payments are sent to the email address we have on file for you.
Please enter your mailing address so we can mail you your study information in addition to the email information you will receive from us. Include your CITY, STATE, and ZIP CODE as well.
Vaccination Status*
Have you received any COVID-19 vaccinations? Either the first [partially vaccinated], or second dose [fully vaccinated]?
This field is for validation purposes and should be left unchanged.