Eligibility Questionnaire: Step 1: Overview

Thank you for your interest in this research study. Please note this website contains an initial eligibility questionnaire but final eligibility for the research study will be determined by the study coordinators. If you meet all eligibility criteria, you will be provided additional information on the research study or any future research studies before enrollment.


Completing the eligibility questionnaire is only a FIRST STEP towards determining your eligibility for the research study and DOES NOT mean that you are agreeing to participate in the research study. If you meet the initial study criteria on this website, the study investigators may contact you to obtain additional medical information and to provide additional opportunities for you to learn more about the actual research study before you can enroll.

Step 1. Overview

  1. Here we provide information on the pre-screening eligibility questionnaire.
  2. You will be given the opportunity to print and review a "Consent to Participate in Research" document.

Step 2. Consent For the Eligibility Questionnaire

  1. Here we provide information on the pre-screening eligibility questionnaire.
  2. You will be given the opportunity to print and review a "Consent to Participate in Research" document.

Step 3. Complete the Eligibility Questionnaire

  1. This questionnaire (located on a secure server at www.ucsfopenresearch.org) will include a series of questions on your medical history that will be used to determine initial eligibility for this stem cell research study as well as future stroke treatment studies.

Step 4. Follow-up with Study Coordinators

  1. This questionnaire (located on a secure server at www.ucsfopenresearch.org) will include a series of questions on your medical history that will be used to determine initial eligibility for this stem cell research study as well as future stroke treatment studies.

Once you complete this pre-screening eligibility questionnaire, we will review your responses. If you meet our initial eligibility criteria, a study coordinator may contact you to determine final eligibility for the stem cell research study. We will also use this information to contact you about future studies related to stroke that you may be eligible for

  1. STEP1

    Overview

  2. STEP2

    Consent

  3. STEP3

    Eligibility Questionnaire

  4. STEP4

    Conclusion