This is an application for a focus group. Applicants must have chronic pain that makes moving difficult. This study will take place the week of Sept 8th at various times in San Francisco and Mountain View. Compensation is $300 for up to 2 hours of their time.
Start
 
Please select your gender


 
Enter your age *

 
Please select your gender *


 
Do you have any medical conditions that make moving difficult or painful? *

Please explain briefly
 
Do you live with a partner or family member? *

Please explain briefly
 
Do you have a caretaker? *

If yes, how often do they visit and what are their responsibilities?
 
If you do chores at home, which are most difficult and why? *

 
Do you have any challenges doing laundry? If yes, why? *

 
Do you have trouble changing bed sheets? If yes, why? *

 
Please leave your email so we may contact you if selected! *

Thanks for completing this typeform
Now create your own — it's free, easy & beautiful
Create a <strong>typeform</strong>
Powered by Typeform