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Contact Me for Future Studies

Please provide the following information. We may contact you about future studies. If you have questions about giving the information please contact mactsparticipant@wayne.edu.

First name
Last name
Gender	Male Female
Year of birth
Height	(inches)
Weight	(pounds)

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Contact Information

Cell phone
Home phone
Email
Preferred way of contact	Phone Email Both
How Often Would You be Willing to be Contacted?	For All Studies Once/Month Once/Quarter Once/Year

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