Do You Qualify?		
	




Alzheimers Study

Do You Qualify?

TRUSTe

Answer a few simple survey questions to learn if you qualify for clinical trials in your area.

Alzheimers-Study.org is intended for U.S. audiences only.

Please review your entries:

1) Are you an Alzheimer's patient or a caregiver to someone who has Alzheimer's?

I have Alzheimer's Disease.

I am caring for someone with Alzheimer's Disease.

This is a required question. Please answer and resubmit.

2) If you or the patient has been diagnosed with Alzheimer's, what stage are you/they?

Mild (early-stage)

Moderate (middle-stage)

Severe (late-stage)

I have not yet received a diagnosis.

This is a required question. Please answer and resubmit.

3) If you or the patient has undergone the Mini-Mental State Examination (MMSE), what was the score?

20-24 = mild dementia

13-20 = moderate dementia

Less than 12 = severe dementia

I have not taken the MMSE or I am not sure of the score.

This is a required question. Please answer and resubmit.

4) What is your 4-digit year of birth? (If you are filling out the survey on behalf of an Alzheimer's patient, enter their year of birth.)

This is a required question. Please answer and resubmit.

5) What is your 5-digit ZIP code?

This is a required question. Please answer and resubmit.

6) What is your email address?

This is a required question. Please answer and resubmit.
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Your Privacy is Important

We take the privacy and security of your personal information seriously and employ advanced information security controls to protect it. We only share your identifiable information with third parties if there is a potential match with a clinical trial, if they are bound by a confidentiality agreement, and to the extent necessary to accommodate your request. To read the complete privacy policy, click here.