Earn $50 For Participating!

Now recruiting: Northern NV residents that are New Mothers (post-partum up to 6 months), ages 18+, and are tobacco users. To register, simply fill out and submit the form below. You will then be contacted to discuss additional details regarding the upcoming study!

We understand how important it is that data gathered about participants remain private, therefore your enrollment in our database is completely confidential:

·  As your data is filed into our database, you will be given a participant I.D. number that VizKinect employees will be require d to use when handling your data. This will limit the number of researchers able to connect your name with your study data.

· No information will be publicly reported that identifies you as a participant in the study

·  Your name and/or contact information will remain VizKinect property and will not be sold to outside parties.

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IMPORTANT: When you click to “Submit” at the end of this form, you will be redirected to a “Success” page to verify that your form is successfully submitted.
If you arrive back on this page after submitting, double check to make sure that none of the questions are left blank!

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