|
|
Early Stage/Early Onset Focus Groups and Interviews Participation Form
We will be conducting focus groups so that we can develop programs and services that meet your needs. If you are unable to participate in a focus group, there will be limited opportunities for individual interviews.
If you are willing and able to participate in a focus group, please fill out the form below and click "submit". Once we receive your application, you will be contacted with further information. We appreciate your time and consideration. Please feel free to contact Nicole Batsch, Early Stage Director at (847) 933-2413 with any questions.
Privacy Statement
The personal information you are providing will be kept strictly confidential. In submitting this information you agree that you are doing so voluntarily and only for the purposes of this study. Results will be reported from this study, but only in aggregate form and not in any way that identifies you.
|