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Intake questionnaire

Gastroparesis Registry 4

Applying to Jay Pasricha · Scottsdale, Arizona

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

0 of 3 answered

1. Are you between 18 and 85 years old?

YesNo

2. Have you been diagnosed with Gastroparesis?

YesNo

3. Are you able to travel to Scottsdale 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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