Post COVID-19 and NeurOptimal® Study Participant Intake Questionnaire
In what ways does NeurOptimal® improve the general well-being of participants who have had COVID-19?

We are an international group of NeurOptimal® Dynamical® Neurofeedback Trainers who are passionate about what we do and have a desire to understand how NeurOptimal® may help individuals who are impacted by persistent Post-Acute Covid-19 concerns.

This study will be conducted over a period of 24 months. Individuals may enroll at any time, but no later than November 19, 2023.

All qualified participants will complete 20 NeurOptimal® neurofeedback sessions as a part of the study. The group will be reporting the severity of their Post-Acute COVID-19 concerns after each neurofeedback session. Before proceeding, all information about this study should be reviewed and understood. Please visit
http://postcovidstudy.com/about/ to access pertinent research information.

NeurOptimal® is considered a general wellness tool. NeurOptimal® is not used for diagnosis or treatment of any medical condition of any kind nor will it cure any medical condition.
Sign in to Google to save your progress. Learn more
Email *
INFORMED CONSENT: You are making a decision to participate in a research study. Select the boxes below to confirm that you have read the Study Description found at www.postcovidstudy.com, and that you voluntarily agree to participate in the study. *
Required
Today's date MM/DD/YYYY
MM
/
DD
/
YYYY
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms