Consent

Thank you for participating in VERSIDA's survey about women/womxn with Alopecia (the medical term for hair loss). It should take approximately 4 minutes to complete.

Your participation in this survey is voluntary and responses will be kept anonymous to the degree permitted by the technology being used.  While we hope that you will complete the entire survey you are free to exit the survey at any time.

Your responses may help us determine the number of women in the United States affected by hair loss and learn more about how it impacts their life to provide services, products, and support for them; educate the public; and increase awareness.
 
No personal identifying information will be collected.  At the end of the survey you will be asked if you are interested in sharing your experience with alopecia, if you choose to do so you will be asked to provide your email address so that you can be contacted later, and your survey responses may no longer be anonymous.  However, no names or identifying information will be included in any publications or presentations based on this data, and your responses to this survey will remain confidential.

If you have questions at any time about the survey, you may email info@versida.org. You may print a copy of this consent form for your records.