The code block below illustrates how one might use # and // as comments in your logic and calculations.

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This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

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This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

BAhugrZDxdUEaRaZuJAPv9AfYRM3p3ikieAuvCLTuWt2oxDPPgAQ4UtbuSxn2HmbsZL8gfN4JdzWzm4PqdUTA2baz3sTTrhAnqAHYXXPbA99BztQRj3hggQ5hw

Pre Screening Survey

Please complete the survey below.

If you do not want to complete any part of the survey, you can skip certain questions or close the page. However, some questions are required to determine eligibilty and cannot be skipped. If you have any questions, please email us - contact information is below.

Thank you!

Parents should fill out this form on behalf of their child. The answers to this survey will help determine whether your child qualifies to participate in research studies in the Preston Lab or the Church Lab at The University of Texas at Austin. If your child qualifies for a study in these lab, you will be placed on a list of interested people and a researcher will contact you when studies that your child qualifies for are open for enrollment. We are running two types of studies:

1. In-Lab Studies

- In-lab studies often involve playing computer games or completing a series of assessments. The details of a particular study will be given to you should you qualify for behavioral studies.

2. MRI Studies

- MRI studies involve Magnetic Resonance Imaging (MRI) and may require a visit to our mock scanner in order to prepare for an official scanning session.

Imaging studies may also involve in-lab studies. If your child is interested in both MRI and in-lab studies, please select "Both" when asked later in the survey.

Study compensation ranges from $10-25/hour.

You will be contacted by research staff if your child qualifies and are interested in a particular type of study.

Participating in this survey and any research is voluntary. There is no payment for completing this survey. For each study your child is asked to participate in, the researcher will explain the payment when they contact you. This survey is not for students who need credit for psychology classes.

If you would like to visit the lab websites:

Church Lab

(512) 471-2221

churchlab@austin.utexas.edu

Preston Lab

(512) 232-5145

prestonlab@gmail.com

There are multiple parts to the survey.

Part 1: The first part should take no more than 2-3 minutes.

Part 2: In order to determine eligibility, you will be required to submit personal health information. This part will take approximately 10 minutes.

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Hay varias partes de este cuestionario.

1: La primera parte deberia tardar aproximadamente 2-3 minutos.
2: Para determinar la elegibilidad de su hijo/hija, se le solicitara que envie su informacion de salud personal. Esta parte deberia tardar aproximadamente 10 minutos.

Please select which language in which you would like to complete this survey.

Seleccione el idioma en el que desea completar esta encuesta.

English

Español

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Are you completing this survey for a child or for an adult?

* must provide value

Child

Adult

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If you are applying for a study as an adult please complete the survey at https://redcap.prc.utexas.edu/redcap/surveys/?s=XiKYJ5

Your name

Your child's first name

* must provide value

Your child's last name

* must provide value

Parent's phone number

* must provide value

Parent's email address

* must provide value

Contact Street Address

* must provide value

Contact City

Contact State

* must provide value

Contact Zipcode

Please enter the date you are completing the survey.

**CLICK THE "TODAY" BUTTON.**

* must provide value

Y-M-D

Your child's birth date (in yr-mo-day format)

* must provide value

Y-M-D

Our system will record your child's age, in years, as:

View equation

Our system indicates that you are over 17 years old. Please close this survey and complete our survey for adults found at: https://redcap.prc.utexas.edu/redcap/surveys/?s=XiKYJ5

Thank you

Gender

Female Male Non Binary Other

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Please provide a brief explanation

Weight (lbs.):

Height:

Is your child a native English speaker?

* must provide value

Yes No

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Is your child fluent in any other language?

* must provide value

Yes

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Please list all the languages your child speaks.

* must provide value

Expand

Is your child homeschooled?

Yes

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Please select your child's grade level:

* must provide value

Please provide a brief explanation

* must provide value

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Please select which type of study you would like to apply for.

* must provide value

Behavioral

MRI

Both

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You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.