How can I participate?

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

1. Fill out the participant form below.
2. Send us an email at soystudy@llu.edu
3. Call us at 909-558-4300 ext.47169


All information voluntarily provided by you on this form will be kept confidential and will be securely transmitted and handled per Study Protocol guidelines.  We will not disclose your personal information to a third party without your consent, unless we are required or authorized to do so by law or other regulation.

Address
Preferred method of contact
Gender
Date

The following medical history information is needed in order to properly assess your qualification to participate in the Fermented Soy Study conducted by Loma Linda University and will be used per Study Protocol guidelines.

Have you in the past year had a routine blood test?
Do you currently have any of the following conditions?
Are you allergic to soy
If not allergic to soy, how often do you eat soy?
What other soy products do you eat often?
check ALL that apply
If not allergic to soy, how long have you eaten soy or other soy products?
When is the best time to reach you? We will get back to you during your preferred time(s).
check ALL that apply