MTP 3-7 Questionnaire

Thanks for your interest in the Michigan Twins Project!

Please review the sample questionnaire below.  The sample questionnaire contains all of the questions that will be asked in the actual questionnaire to follow and is designed to give you a better idea of what the study involves before deciding whether or not to participate.

The study consent form will be displayed after you log in.  You may also click the link below to view the consent form and print a copy for your records.

If you would like to participate:

Click “Questionnaire Login” below and enter your user name and password on the next page.  After you log in, the consent form will be displayed.  Click “I Agree” at the bottom of the consent form and then click the link to the next page to continue on and complete the questionnaire.

If you do not want to participate and would like to remove yourself from the contact list for this study:

Click “Questionnaire Login” below and enter your user name and password on the next page.  Logging in is necessary so we know who to remove from the contact list.  Logging in does not obligate you to participate in any way.  After you log in, click “I Do Not Agree” at the bottom of the consent form and then click the link to the next page to decline participation and remove yourself from the contact list for this study.  If you would like to remove yourself from the contact list without logging in, please call the Michigan Department of Health and Human Services office at (517) 335-9945.

Click the icon above to view the sample questionnaire.

Click the icon above to view and print a copy of the study consent form for your records.

Click the icon above to proceed to the questionnaire login page.