Huntington's Disease Pre-screener

Have you got a confirmed diagnosis of Huntington’s disease on genetic testing?*
- Yes
- No
Thank you for your interest in participating in our study. Unfortunately, it appears that you do not meet the required eligibility criteria at this time.

To keep in touch with our latest news and trial offerings please sign up for our mailing list.

Do you have symptoms of Huntington’s disease?*

Yes

No
Thank you for your interest in participating in our study. Unfortunately, it appears that you do not meet the required eligibility criteria at this time.

To keep in touch with our latest news and trial offerings please sign up for our mailing list.

Do you need assistance with day to day activities such dressing, cooking and mobilising?*

Yes

No
Thank you for your interest in participating in our study. Unfortunately, it appears that you do not meet the required eligibility criteria at this time.

To keep in touch with our latest news and trial offerings please sign up for our mailing list.

Are you aged 25 or over?*

Yes

No
Thank you for your interest in participating in our study. Unfortunately, it appears that you do not meet the required eligibility criteria at this time.

To keep in touch with our latest news and trial offerings please sign up for our mailing list.

Are you happy to use effective contraceptive methods for the duration of the trial?*

Yes

No
Thank you for your interest in participating in our study. Unfortunately, it appears that you do not meet the required eligibility criteria at this time.

To keep in touch with our latest news and trial offerings please sign up for our mailing list.

Any unstable medical conditions?*

Yes

No
Thank you for your interest in participating in our study. Unfortunately, it appears that you do not meet the required eligibility criteria at this time.

To keep in touch with our latest news and trial offerings please sign up for our mailing list.

Have you previously participated in a Huntington's disease clinical trial, or are you currently participating in one?*

Yes

No
Thank you for your interest in participating in our study. Unfortunately, it appears that you do not meet the required eligibility criteria at this time.

To keep in touch with our latest news and trial offerings please sign up for our mailing list.

PLEASE NOTE TAKING PART IN OUR RESEARCH MAY REQUIRE THE FOLLOWING

Some studies require a study partner who can attend appointments with you and observe your progress during the course of the study.

Clinical research may involve participating in a trial over a period of time and require taking study medication/placebo.

Name*
First Last
Email*

Postcode*
Phone*
Date of Birth*
DD
MM
YYYY
How did you hear about us?*

Glasgow City FC

Social Media

Radio

Referral

TV

Web Search

Newspaper

Alzheimer's Scotland

If you selected referral could you let us know which best applies:*

My GP

NHS Consultant

Clinic

My GP
NHS Consultant
Clinic
Best time to call?*
Opt in?
I agree to receive future emails from NeuroClnx Glasgow
I dont agree to receive future emails from NeuroClnx Glasgow
Expenses Policy*
If I join a clinical study at NeuroClnx I agree to comply with the Expenses Policy
Terms and conditions*
I have read and accept the Terms and conditions
Read the Terms and conditions

Huntington's
Pre-screener

Register to take part in one of our studies.

Step 1 of 8

Huntington's Pre-screener

Register to take part in one of our studies.

Step 1 of 8

Huntington's
Pre-screener