Contact Information

The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

UZG3h3WTURhU3zYHXVghd7TJmrqfS6hPmRTJhJQaxNX3hWnVtCU2tXdYDhRWe6Jm9k8PE3W5c2UsjJ3IDtDf3KfiMao2Ah8B7LnyDVyLgFFYJD3USFE3Gs

This online questionnaire is meant to gather contact information and basic health information to determine if you are eligible to participate in a new study called SUNBEAM - which stands for Systems Biology of Early Atopy. Your participation in this research registry is voluntary. Completing the questionnaire is voluntary and you can end the questionnaire at any time without having your information submitted to the research team. You can decide in the future whether you want to participate in additional research activities.

The questionnaire will take approximately 5 minutes to complete and asks for information such as your name, email address, phone number, and basic information about your health. Information collected through the questionnaire will be reviewed by SUNBEAM study staff to see if you might qualify for the study.

After completing the questionnaire you will be contacted by researchers to verify the information and give you more details about the study. You can decide at that time if you would like to be part of the study. The study staff will then discuss next steps with you and possibly schedule a consent visit. If you decide not to be part of the study or if we are unable to contact you, your provided information will be destroyed.

We will do our best to keep your information confidential. To help protect your confidentiality, the questionnaires will not be saved in a way that will directly identify you.

If you have any questions about how your information will be used or want to withdraw your information in the future, please contact us at SUNBEAM@vumc.org.

Additional details about the study can be found in this brochure:

Welcome to SUNBEAM!.pdf

You have selected an option that triggers this survey to end right now.

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.