Almond Study Screening Form | School of Public Health

How can I participate?

You can let us know if you are interested in the study by any of the following 3 ways:

Fill out the screening form below.
Send us an email to almondstudy@llu.edu
Call us at 909-558-8382

Name

First

Last

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Home Phone Number

Phone number

Preferred Method of Contact

Gender

Date of Birth

Height

Weight

Have you had any vaccination this year?

If yes, please provide the date of vaccination

Do you have any auto- immune disease like Lupus, Rheumatoid Arthritis, Hashimoto Disease etc.?

Are you currently taking insulin for managing your blood sugar?

Do you have any severe liver and/ or kidney disease?

Are you allergic to nuts?

If not allergic to nuts, how often do you eat nuts?

Upon reviewing the information you provided, we will inform you of your eligibility to attend our study information session which is the next step in the process to identify eligible participants. In order to reach you with this information, please indicate the best times to reach you:

Best time to be reached (can check multiple) (select each applicable text)

Morning 8:00 AM - 12:00 PM

Afternoon 12:00 PM - 5:00 PM

Evening 5:00 PM - 8:00 PM

Thank you so much for your interest in the Almond study. Unfortunately, you do not qualify for the study. We again want to thank you for time and effort.

If you know of someone who you think might be interested in the study, please feel free to let them know about the study and guide them to our website www.nutstudies.com or have them email us at almondstudy@llu.edu or call us at 909-558-8382.