1 (844) 94-TRIAL

Pre-screening Questionnaire

Chronic Kidney Disease (CKD) with Pruritus

Recruiting

Male/Female

18 - 85 years of age

Compensation Provided

Contact Information

Please enter your legal name, a valid phone number, and a valid email address where you can be contacted.

First Name

Last Name

Phone

Email

Gender

Age

Preferred Language

Eligibility Questions

Please answer the following questions to determine your eligibility for this study.

Are you between 18 and 85 years of age?

Yes

No

Have you been diagnosed with chronic kidney disease (CKD)

Yes

No

Are you currently on dialysis?

Yes

No

Do you suffer Pruritus (Itchy skin)?

Yes

No

You can call, email, or text me about current or future studies.

Thank you for taking the time to complete this Pre-screening Questionnaire!

We will contact you shortly. Please check your email for additional instructions.

See more studies →

Facebook Instagram Twitter

© 2023 AVAIA, LLC. All rights reserved.