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Express your interest in participating in CogCoach-Brain
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Current
Questionnaire
Continued
Complete
What is your current age?
60 - 64 years old
59 years old or younger
65+
Thank you for your interest in CogCoach-Brain!
We are currently focusing recruitment on people aged 60–64 years.
If you are aged 65 or over, you are still welcome to:
Register your interest in CogCoach-Brain
, and our research team will contact you regarding the next steps; or
Learn more about
CogCoach-Health
, a similar research program for people aged 65 and over that is currently recruiting.
Can you read, write and communicate in English to a comfortable level?
Yes
No
Do you speak any languages other than English?
Yes
No
If yes, please list them below (for example: Mandarin, Cantonese, Italian, etc.)
Are you willing to complete an online course and interviews via phone/video call?
Yes
No
Do you have a computer, tablet or smartphone and the ability to connect to the internet?
Yes
No
Are you willing to nominate a friend, family or carer who is willing to provide information about your memory and thinking and your everyday behaviour at the beginning and the end of the study?
Yes
No
How did you hear about this study?
General Practitioner (GP)
Medical specialist or Memory clinic
Facebook or social media
Online search (e.g., Google)
Community group or organisation
Friend or family member
Email or newsletter
Other (please specify)
Enter other…
Would you be willing to provide a blood sample for biomarker testing?
Yes
No
It looks like you are not eligible to join the study as you have answered no to a requirement.
Thank you for checking us out!
It looks like you are not eligible to join the study because you do not meet the required age criteria for participation.
Thank you for checking us out!
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