Am I a candidate for the Connect-One Clinical Study?

Answer a few questions to check if you qualify for the Connect-One Clinical Study.

Based on your answers, your responses may be recorded and your information shared with the local clinical site.

Do you have adiagnosis of a progressive neuromuscular disease (like ALS) or neurologicalinjury (like brainstem stroke) that affects movement in your arms and legs, andyour ability to speak?*

YesNo

Are you between the ages of 22 to 75?*

YesNo

Do you live in the US?*

YesNo

Are you within a 4-hour drive of any of these cities: Sacramento, CA, Ann Arbor, MI, or Boston, MA?*

YesNo

If you selected yes, please provide the city you live in or zip code.

Do you regularly use any of the following to communicate?

LetterboardButton or switchEye trackerHead trackerQuadstickSip-and-Puff

MouseTrackpadKeyboardApps on a phone, tablet, or computerOther

Have you used voice banking (like Acapela) or message banking?*

YesNo

I consent to the use of my information for pre-screening purposes. I understand that submitting this form does not guarantee participation in any clinical trial.I have read and agree to the Privacy Policy.

Disclaimer: Submitting your information does not commit you to participate in the Connect-One Clinical Study and does not guarantee that you will qualify. Depending on your answers, study staff may contact you to discuss eligibility and next steps. By providing your information, you agree that Paradromics and its research partners may contact you about the Connect-One Clinical Study or future clinical studies. Your information will be handled in accordance with our Privacy Policy and applicable data protection laws. You may withdraw your consent and request deletion of your data at any time.

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