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Facility Respondent Sign-up Questionnaire

Intro Page

Thank you for your interest in joining the Insight Loft participant database.  Please fill out this short questionnaire.  Your information will be kept in strict confidence and used only by Insight Loft to contact you for upcoming research studies that may match your profile.  Your information will never be shared with a third party.

The more information you complete the higher likelihood that you will be called to participate in a research study.  Please be sure to double check that your contact information is correct.