The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

iycMqZKtKYcAFLTtHSCmcKmxh3ACfA3WHMB3Ct

Suicide Prevention Study

Dr. Arielle Sheftall at the University of Rochester Medical Center (URMC) is interested in learning more about youth mental health. She is looking for youth ages 9-11 years and their parents to meet with researchers in person. Families do not need to have a history of suicidal thoughts to join. Families will receive compensation for participating.

If you would like to hear about the study, please consider completing the form below. There is no obligation to sign up, and signing up or not will not affect your care received at URMC.

Would you like to hear more information about this research opportunity?

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.