JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Smartwatch Study Participant Interest Form
Thank you for your interest! If you have questions, please contact
lionel@cs.ucla.edu
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Are you affiliated with UCLA? If you answer "no" to this question, you will not be eligible for this study.
*
Academic Faculty
Student
Campus Staff
Alumni
Other:
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number (only for communication purposes!)
*
Your answer
What is your status in the United States military?
*
Active Duty
National Guard
Reservist and/or ROTC
Veteran
Other:
In which branch (or branches) of the United States Military have you served? (Check all that apply)
*
Army
Air Force
Coast Guard
Marine Corps
Navy
Other (e.g., Public Health Service, Environmental Services Administration, National Oceanic and Atmospheric Administration, U.S. Merchant Marine)
Other:
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Google Apps for UCLA.
Report Abuse
Forms
