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

This value you provided is not a number. Please try again.

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

The value you provided is outside the suggested range

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:

5VNssmhc2snEp9fnH5z8G94AqSi9Qyap3UpGrTEBk5n8KujuYIESPk7Btb2IBhMwopav2JmgXeoJdgLwrfQpuuqK3gB9eSS8HWRutRpQP2IvG8v22

Contact Information

Thank you for your interest in our Sleep and Activity Monitoring Study!

This is a questionnaire which will help us determine whether you qualify for the study. There are 3 pages total. If you qualify, we will give you a call to discuss the specifics of the project. The survey and informational phone call are not binding. If you have any questions, please reach out to us at (512) 471-2745.

The survey is going to start with some general questions about your history. All of your answers will remain confidential unless you tell us anything that is a danger to yourself or others. There are no right or wrong answers and you can quit at any time. If you do not qualify for this study, we will destroy your screening information within 6 months. Please email or call the lab if you have any questions.

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.