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Check Your Eligibility
I understand this is a research study prescreen (not medical care) and I agree to be contacted.
Yes
No
What is your age?
Under 18
18–39
40–64
65+
Have you tested positive for COVID‑19 within the past 4 days?
Yes
No
Do you have 2 or more COVID-19 Symptoms (Fever or chills, Cough,Shortness of breath or difficulty breathing,Sore throat, Congestion or runny nose,New loss of taste or smell,Fatigue (tiredness),Muscle or body aches,Headache,Nausea or vomiting,Diarrhea)
Yes
No

I understand this is a research study prescreen (not medical care) and I agree to be contacted.

The below questions and selections are used to determine your eligibility in the study only:

DOB
Month
Day
Year
What is your current age?
Under Age 22
Age 22-35
Age 36- 54
Age 55+
Have you been diagnosed with Hypertension/High Blood Pressure in your lifetime?
Yes
No
Are you currently taking a medication prescribed for high blood pressure?
Yes
No
What is your gender?
Male
Female
What racial group do you identify with?
Black or African-American
Asian
White
Hispanic
Is your current BMI 30+
Yes
No
What was the range of your most recent blood pressure (BP) reading taken within the past 12 months? Please select one option below.
BP ≤140/90
Systolic BP ≥140 and diastolic BP ≥90
Systolic BP ≥150 or diastolic BP ≥100
Systolic BP ≥140 or diastolic BP ≥90
I don't know
Choose your skin tone type below:
Pale white
White/Fair
Olive/Moderate Brown
Brown
Deeply Pigmented/Dark Brown to Black
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