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Surveys
2017
April
Z
Zika Virus Clinical Trials
Zika Virus Clinical Trials
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Have you ever traveled to any of the following countries?
Argentina
Brazil
Africa
Uganda
Any other countries in Asia or Africa
How familiar are you with the symptoms of Zika Virus?
Not Familiar
Familiar
Very Familiar
I only know that Zika is not good for my health.
*
List the medications that you are allergic to
Have you ever been apart of a clinical study before?
Yes
No
Would you be apart of the clinical study that would allow your fetus to be protected from microcephaly?
Yes
No
*
List the conditions that your primary doctor has told you that your fetus has once you were exposed to Zika Virus
When given the consent form, did the interviewer provide enough details about how the trials would be conducted?
Yes, somewhat
Yes, certainly
No, I do not understand
List the treatments that you have received prior to joining the clinical study
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