Online Consent for Eligibility Survey

Welcome! This survey is the first step to determine if you are eligible to participate in the Rural Dementia Caregiver Study. You will be told whether or not you are likely to be eligible immediately after completing this survey. However, we may need to speak to you by telephone to confirm your eligibility.
PLEASE CHECK YOUR EMAIL FOR YOUR ELIGIBILITY RESULTS.
This study will help researchers at University of California San Francisco (UCSF) understand how an online program improves the well-being of caregivers. This is a research study led by Dr. Veronica Yank of the UCSF School of Medicine.

This survey should take you 5 minutes or less.
- You will not be compensated for taking this eligibility survey.
- Your answers are completely confidential. Only the research team will know how you answered the questions in this survey.

You do not have to take this survey. Your decision to participate or not participate will not affect any healthcare you receive at UCSF or elsewhere.

Questions?
Contact project investigator Veronica Yank at (415) 476-9654 or by email at veronica.yank@ucsf.edu or project director Jasmine Santoyo-Olsson at the toll-free number at (833) 634-0603 or by email at jasmine.santoyo-olsson@ucsf.edu. For questions or concerns about your rights as a research participant, call the UCSF Institutional Review Board at 415-476-1814.
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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.