TIME Project Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out this form if you are interested in participating in the TIME Project; you will be contacted afterwards with more information. Of note, this form does not enroll you in the study. If you have any questions feel free to call 617-379-1112 or email time.mgh.nu@gmail.com.

First Name *

Last Name *

Age *

Gender *

Male

Female

Other

Prefer not to say

Nationality *

Phone Number *

Are you a student in a Boston college or university? *

Yes

School Email Address *

Preferred Email Address (if other than school address)

Are you right handed or left handed? *

Right handed

Left handed

Where did you see the ad for our study? *

See the study schedule below. Make sure you can complete this schedule for 1 week before submitting this form.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Northeastern University. Report Abuse

Forms