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Intake questionnaire

Study of COYA 302 for the Treatment of ALS

Applying to Barrow Neurological Institute · Phoenix, Arizona

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

0 of 4 answered

1. Are you between 18 and 80 years old?
2. Have you been diagnosed with Amyotrophic Lateral Sclerosis (ALS)?
3. Are you currently pregnant or breastfeeding?
4. Are you able to travel to Phoenix for study visits?