Vestal DM Survey - UCD
Many thanks for registering your interest in our upcoming type 2 diabetes mellitus clinical trial.

This clinical trial is investigating the effect of a non-invasive neurostimulation device on the control of long-term blood sugar levels in people diagnosed with type 2 diabetes mellitus.
 
During this trial, as well as free use of the neurostimulation device, participants will have free access to dietary counselling sessions for the duration of the 24-week study.
 
The study is being conducted in collaboration with University College Dublin. This survey is part of the screening process to see if you are eligible to participate. It will take no more than 3 minutes to complete.

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Consent to Participate
Your participation in this research study is voluntary. You may choose not to participate. If you decide to participate in this research survey, you may withdraw at any time. If you decide not to participate in this study or if you withdraw from participating at any time, you will not be penalised.

You will be asked some questions about your health and willingness to participate in the study. In order for us to progress to the next step you will be asked to provide contact details. By providing these contact details you are consenting to be contacted by these means.

If from your survey responses you are deemed eligible you will be contacted by a member of the screening team by email. They will provide you with more information about the study and arrange a screening phone call to go through the rest of the trial’s eligibility criteria. We will do our best to keep your information confidential. All data is stored in a password protected electronic format. The results of this survey will be used for screening purposes only.

1. ELECTRONIC CONSENT: Please select your choice below.                                                                                  Clicking on the "agree" button below indicates that:        • you have read the above information                                                                         • you voluntarily agree to participate                                   • you are at least 18 years of age.                                                                              If you do not wish to participate in the research study, please decline participation by clicking on the "disagree" button. *
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