Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
$50 customer research interviews on October 5 (online interview)
We are looking for medical students to participate in 45-minute research interviews via Skype. Selected participants who complete the interviews will receive $50 Amazon gift cards. Please complete this short questionnaire.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
When are you available for a 45-minute interview via Skype on Wednesday, October 5?
*
Please mark ALL times we could schedule your interview.
8:00 AM (CST)
9:30 AM (CST)
11:00 AM (CST)
1:00 PM (CST)
2:30 PM (CST)
None of the above
Required
Your first and last name
*
Your answer
Your email address
*
Your answer
Your age
*
Your answer
Your gender
*
Female
Male
In which country is your med school located?
*
Your answer
Which med school year are you in?
*
M1
M2
M3
M4
What city do you live in?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lecturio GmbH.
Report Abuse
Forms
