Hello! You are about to fill out a brief survey for the Program for Research on Women's Health and Disability (PROWHD) Research Registry. The purpose of the registry is to connect with women who are interested in being contacted for participation in future research studies focusing on Women's Health and Disability.

You will be asked questions about your address, phone number and to describe your disability. You will also be asked questions about your availability and the type of research you'd be willing to participate in. Filling out this survey is completely voluntary and will not penalize you in anyway if you decide not to participate.

The next page will contain the consent form, with information explaining the study in detail and will ask you to select whether you agree to participate in the study or not. If you do not select an option or if you select "I decline to participate in the registry" then you will not see any questions and will be directed to the end page. If you have any questions or problems filling out the survey, please contact us at whdregistry@umich.edu

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You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.