Interested in participating in a schizophrenia study?

Fill out the form below to see if you qualify.

First Name*

Last Name*


Phone Number*

​Have you been diagnosed with Schizophrenia?

Do you hear voices?
 yes no I have in the past

​​Do you think that people are plotting against you or spying on you?
 yes no unsure

​Have you ever felt that people on the TV or Radio were specifically talking to you?
 yes no unsure

​Do you see things other people can’t see?
 yes no unsure

When was the last time you were hospitalized?

How did you hear about us? (required)

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