USC CeNEC Social Inclusion Study Interest Form

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Help USC researchers learn more about the neural correlates of social inclusion! If all of the following describes you:

Please fill out the required information below. We will contact you shortly with further details. Thank you for your interest in participating!

Name (first and last) *

Age *

Gender *

Email *

Are you a USC student? *

Yes

If so, which program are you in? *

What is your preferred method of communication? *

Call

Text

Country of birth *

Have you lived in the United States your entire life? (Please select Yes, if you have lived outside of the US for less than 6 months) *

Yes

Is English your native language? *

Yes

Are you right-handed? *

Yes

Ambidextrous

How did you hear about this study? *

Submit

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