Thank you for your interest in participating in PAR’s Data Program. Please answer the following questions regarding data you are interested in sharing with PAR.

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* 1. Which PAR test(s) do you have data on?

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* 2. For each test listed in the prior question, what is the approximate sample size?

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* 3. For each test listed in the prior questions, please briefly describe the most common characteristics of the sample (e.g., pretrial defendants, bariatric patients, geriatric).

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* 4. How are your data currently stored? (Check all that apply.)

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* 5. Please provide any additional information that you would like us to know.

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* 6. Again, thank you for your interest in collaborating with PAR. So we can contact you, please provide us with your contact information.

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