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:

2WRwBvxxWEZsKDSh7XLDL88dICgXLamhM3VnfRLc6VwnAjAhszkCt52XLWipGDMosVUa8AIHRqTQBV6XJdiTpGGe

Painful Peripheral Neuropathy Research Interest Survey

Thank you for your interest in our study!

The University of Rochester is seeking research participants who have pain in both of their feet for a study on peripheral neuropathy. Participation includes 2 visits over 1-2 weeks and would include up to $200 reimbursement for your time. Study related screening is included without cost.

The following questions will help us determine if you might be eligible for the study. You don't have to answer any question you don't want to answer, and your information will be used for study purposes only. If you are not eligible, we will not ask you for any identifying information.

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