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Intake questionnaire

CTSN Embolic Protection Trial

Applying to Ochsner Clinic · New Orleans, Louisiana

Answer a few short questions to share with the research team.

0 of 3 answered

1. Are you 60 years old or older?

YesNo

2. Have you been diagnosed with Delirium?

YesNo

3. Are you able to travel to New Orleans for study visits?

YesNo

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Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you meet the criteria to participate. Results are based on the information you provide and are intended to help you start a conversation with the research team.

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