Thank you for your interest in our research study.

We are interested in learning about lifestyle behaviors, like tobacco use, alcohol use, and diet among people who live the United States. We will gather data online through a 5-minute survey. While completing this survey, you will be asked about lifestyle behaviors and basic demographic questions.

By clicking ‘yes’, you will advance to our study screener that will ask you some questions to identify whether or not you are eligible to participate in this study. Information will be kept on file for research purposes.

By completing and submitting this screening form, you acknowledge and consent to BuildClinical’s and Ohio State’s access to the information provided. This includes all data collected on the form, which may be used by BuildClinical to support clinical assessments, facilitate care coordination, and improve services. Your data will be handled in accordance with applicable privacy laws and regulations to ensure its protection and confidentiality.

If you ever have questions about your rights as a research participant, you may call the Ohio State University Office of Research Administration at 1-800-678-6251. If you have questions or concerns about the study, you can also contact the research team at 1-844-744-2447.

Do we have your permission to administer this screening survey and keep your information on file for research purposes? You are giving your consent by answering yes.