Generalized Anxiety Disorder (GAD) Study

Do you suffer from Generalized Anxiety Disorder (GAD)?

You may be interested in a study for adults dealing with Generalized Anxiety Disorder.

All study related care is provided at no cost by a team of dedicated study doctors, nurses, and staff.

The studies may involve visits to a study center in your area.

What happens if I sign up?

We will match you to a clinical research study center in your area that is seeking patients with Generalized Anxiety Disorder or notify you when one becomes available. Someone from the study team will contact you to explain more about a study before you make your decision to participate. If after talking to the study team you decide to participate in the study, you will be asked to read and sign a consent form which provides detailed information including your rights, risks, benefits, and requirements of the study.

Sign Up

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 for the purpose of recruitment into clinical research studies, determining your eligibility for studies, and provision of other services you requested? 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. *

Yes

First Name *

Last Name *

Phone Number *

Email

Date of Birth MM/DD/YYYY *

Zip Code or Postal Code *

Are you Male or Female?

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

Do you experience any of the symptoms listed below? *
Please select all that apply…

Difficulty controlling feelings of worry

Feeling restless / wound-up / on edge

Difficulty concentrating

Fatigue

Irritability

Trouble falling asleep or staying asleep

Headaches / muscle aches / stomach aches

Other symptoms of Anxiety

None of the above

Have you been diagnosed (by a doctor) with any of the additional psychiatric medical conditions? *

Schizophrenia

Bipolar disorder

Obsessive Compulsive Disorder (OCD)

Borderline or antisocial personality disorder (BPD)

None of the above

Have you been diagnosed (by a doctor) with any other medical conditions? *
(For example: Neurocognitive disorder, major depressive disorder (MDD), autism spectrum disorder (ASD), attention-deficit/hyperactive disorder (ADHD), dyslexia, cerebral palsy, cyclothymic disorder, neuroleptic malignant syndrome, serotonin syndrome, pituitary tumor, HIV, type 1 diabetes)
Please list here or write 'none'.
Please only include conditions which have been diagnosed by a doctor.

Are you taking any medications or treatments for your Generalized Anxiety Disorder (GAD) or other health conditions? *
(Examples include: Lexapro, Adderall, Lorazepam, Prozac, Sertraline, Propranolol, Escitalopram, Vagus Nerve Stimulation, Transcranial Magnetic Stimulation (TMS), Neuromodulation, Electroconvulsive therapy (ECT), Ketamine, Esketamine, Arketamine, Psilocybin, MDMA)
Please list them below or type ‘none’.

Have you previously had an allergic reaction to a medication? *

Please, select your height from the dropdown below. *

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

If female, are you currently pregnant or breastfeeding? *

Which racial or ethnic group(s) do you identify with? *
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

Another race or ethnicity

I prefer not to answer

What is the best day/time to reach you via telephone between the hours of 8am-5pm? *

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. By providing your phone number and clicking “Submit” below, you consent to receive messages, including SMS/MMS text messages, sent by or on behalf of AutoCruitment, with information about research studies for which you may be eligible. By clicking Submit, you also agree to our SMS Terms. 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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