Generalized Anxiety Disorder (GAD) Study

Clinical Trial for GAD

If your current anxiety treatment isn’t working, this clinical trial may be for you

Get started – see if you prequalify.

We’re looking for adults to take part in a clinical trial assessing an investigational drug that may help improve symptoms of generalized anxiety disorder.

You may participate if you:

Are 18-65 years of age 
Have been diagnosed with generalized anxiety disorder
Are dissatisfied with your current GAD medication

Study benefits include:

Studies are supervised by trained doctors and medical staff.
Study-related health assessments and investigational drug are provided at no cost.
No insurance is needed.
Reimbursement may be provided for study-related expenses.
Convenient site near you.

Fill out this short questionnaire to determine if you pre-qualify. You’ll be contacted by medical staff who can answer your questions before you decide to participate.

Fields marked with an * are required.

Do you consent to the collection and processing of your personal data (including information about your race and ethnicity (as applicable), and your health information, including symptoms, diagnoses, medications, and treatments and our sharing of this information (“Health Data”) for the purpose of recruitment into clinical research studies, determining your eligibility for studies, and provision of other services you requested, and disclosure to our Research Partners? You may withdraw your consent at any time by contacting us at info@autocruitment.com. Please note that your revocation will not impact any records or health data already collected, disclosed, or processed based on your consent. If you do not consent to the collection and use of your Health Data in this manner, we will not be able to provide you with our services or evaluate your eligibility to participate in the studies. *

Yes

Do you consent to receive recurring messages at the phone number you provided above, including SMS/MMS text messages, sent by or on behalf of AutoCruitment through the use of an autodialer or artificial intelligence with information about research studies for which you may be eligible. To opt out, reply “STOP” or similar words. Message and data rates may apply. By clicking ”Yes”, you also agree to our SMS Terms. *

yes no

First Name *

Last Name *

Phone Number *

Email *

Date of Birth MM/DD/YYYY *

Zip Code *

What sex were you assigned at birth? *

Male

Female

Prefer not to say

Have you been diagnosed by a doctor with Generalized Anxiety Disorder (GAD)? *

Yes – I have Generalized Anxiety Disorder (GAD)

No

Unsure

Have you been diagnosed with cancer? *

Yes

No

Are you currently being treated with any of the following antidepressant therapies? *
Please select all that apply.

Escitalopram (Lexapro®/ Cipralex®)

Paroxetine (Paxil™/ Brisdelle®)

Duloxetine (Cymbalta®)

Venlafaxine ER (Effexor ER ®)

None of the above

Including the antidepressants that you selected above, have you tried a total of 3 or more antidepressants in the past 24 months? *

Yes – Tried more than 3 antidepressants in past 24 months

No

Are you taking any additional medications or treatments for your anxiety disorder or other health conditions? *
(For Example: Cariprazine)
Please list them below or type ‘none’.

Please, select your height from the dropdown below. *

How much do you weigh in Lbs (pounds)? *

Are you currently pregnant or breastfeeding? *

Yes No

Which racial or ethnic group(s) do you identify with? *
Capturing information on ethnic backgrounds allows us to better understand how different groups may have different needs.
Please select all that apply.

American Indian or Alaskan Native

Asian

Black or African American

Hispanic Latino or Spanish

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

White

Mediterranean (Greek/Italian/Portuguese/Spanish/etc)

Another race or ethnicity

I prefer not to answer

What is the best day/time to reach you via telephone (we know you are busy)? *

The information you are providing here will be processed in accordance with our Privacy Policy, which describes our data privacy practices, including how we share your information with our Research Partners and use your information to send you details about potential clinical trial opportunities. When you submit this information, you consent to AutoCruitment’s use of your data as described in our Privacy Policy. If you have any questions regarding the handling of the information you have provided to AutoCruitment, or if you would like to make any changes or withdraw your consent, please contact us at info@autocruitment.com.

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