We will contact you if one of these opportunities seems to be a good fit for you.

Thank you for your interest in sharing your experience on behalf of DBSA. Our goal is to assist our partners in understanding peer concerns. 

Please complete this pre-screener to see which opportunity is a good fit for you. The pre-screener may take about 4 - 5 minutes to complete.

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* 1. Please provide your name and email address.

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* 2. Do you have access and ability to participate in an audio recorded online video conference for 60 minutes or more, such as Zoom or Microsoft Teams, in English?

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* 3. Which of the following apply to you? Please select all that apply.

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* 4. Have you been DIAGNOSED with any of the following conditions that are associated with excessive daytime sleepiness? Please select all that apply.

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* 5. Which of the following apply to you? Please select all that apply.

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* 6. Which of the following apply to you? Please select all that apply.

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* 7. Which of the following apply to you? Please select all that apply.

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* 8. What is your current age range?

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* 9. Please describe your gender.

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* 11. How would you describe where you live?

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* 12. Do you have access to mental healthcare? (For example, mental health services, community mental health centers, healthcare professionals, therapists, etc)

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* 13. Do you have health insurance?

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* 14. What is the highest grade or level of school you have completed?
(If you’re currently enrolled in school, please indicate the highest degree you have received)

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* 15. Which of the following categories best describes your employment status?

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* 16. Please describe your racial or ethnic identity? (Select all that apply.)

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* 17. Please describe your sexual orientation.

Thank you so much for the time, energy, and emotion you dedicated to sharing your experience and opinions.

We will contact you if any of the opportunities seem to be a good fit for you.

DBSA may use responses to this pre-screener to reach out about future opportunities.