Please answer the questions below to the best of your knowledge. Identifiable information will be collected at the end of the questionnaire.

If it looks like you might be eligible, we will provide you with details about the study and prompt you to fill out a more extensive set of questionnaires prior to enrollment.

Some of the questions below will be personal or confidential. All questions are IRB approved. This questionnaire will take approximately 10 minutes.

If you have any questions, please contact us as or 503-494-5536.

Thank you!

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