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Intake questionnaire

Study to Assess the Ability of the Portable Scalp Cooling System (PSCS) to Prevent Hair Loss

Applying to Carle Health · Urbana, Illinois

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

0 of 4 answered

1. Are you 21 years old or older?
2. Do you identify as female?
3. Have you been diagnosed with Alopecia?
4. Are you able to travel to Urbana for study visits?