If you would like to start completing some of the study documents now, please continue. This first form is to allow us to contact you, using the email address you provided. We do not use email to discuss any private health information, but for scheduling telehealth visits (over video using Zoom). The email will come from UMN Research Study, and include that it is about a smoking research study.
The next form will be to allow us to contact you through text messages, to the phone number you provided. Again, we do not use text messaging to discuss any private health information, it would only be for scheduling purposes for this study. We would also try to use your preferred method as indicated in the previous form, but would like both of these forms completed so there is a backup method.
Once you sign these forms and click Next, it will have you review what the pdf of the signed form will look like, and ask you to check the box to certify that it is as you signed it, then click Submit. Once you click Submit, it will email you a pdf of this signed form, for your records.
The final form will be a short questionnaire collecting more demographic and additional smoking behavior. This is to shorted the time needed for the telephone screening interview.
If you would prefer to speak with a study coordinator first, prior to complete these forms, or if you are no longer interested in this study, please check the appropriate box below to stop this survey.