Sign-up here to participate in a movement disorders study — including Parkinson’s

  • The form is below.
  • The form asks for a preferred contact method. This is how we will reach out to you.
  • When we contact you, you can choose a date, time, and place to participate.
  • The study session lasts for 1 hour, or less.
  • No prior knowledge is needed, except familiarity with a mobile device Home Screen.
  • KLOA provides the phone used in the study (not yours).
  • No personal information is collected. All questions and exercises are general in nature.

Form Fields:

  • Name
    • First Name
    • Last Name
  • Email (required)
  • Phone
  • Preferred contact method
    • Email
    • Phone call
    • Text message
  • Have you (or the person you are answering for) been diagnosed with a movement disorder disease?
    • Yes
    • No
  • Which disorder(s) have been diagnosed?
    • Tremors
    • Parkinson's disease
    • Dystonia
    • Cerebral palsy
    • Tic disorders / Tourette's
    • Chorea / Huntingdon's disease
  • Age range
    • Under 18
    • 18 — 34
    • 35 — 49
    • 50 — 69
    • 70 and older
  • Confidence in navigating a mobile phone Home Screen
    • Not at all confident
    • Slightly confident
    • Moderately confident
    • Very confident
    • Extremely confident
  • Availability
  • Where you could meet
  • Required accommodations to participate
  • How did you hear about the study?

Submit

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