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✔ Confidential Participation
✔ Compensation available for time and transportation
✔ Support throughout the study
✔ Individuals between 18 and 75 years old may qualify

Complete the form to verify if you could participate

Personal Information

Do you currently use opioids?
Yes
No
What type of opioids do you currently use?
Morphine
Codeine
Theine
Oxycodone
Hydrocodone
Hydromorphone
Heroin
Fentanyl
Methadone
Tramadol
In the last 30 days, have you used buprenorphine, Suboxone, Subutex, Zubsolv, Bunavail, Brixadi, or any similar medication as part of a treatment for opioid use?
Yes, currently
I took it before, but not anymore
No
I'm not sure
Are you currently prescribed buprenorphine (Suboxone® or a similar medication), and can this be verified through medical records or documentation?
Yes
No
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