The USC POWER Lab is currently seeking participants for a research study! Compensation is available for participation. In-person visits are held at the University of Southern California Health Science Campus.
In order to see if you qualify for any of our studies, please complete the below online survey. If you qualify, we will contact you by phone or email within one week. We cannot share information with you about why you may or may not qualify.
If you have already filled out an online survey, please DO NOT fill out another one. Instead, please contact us directly to see where you are in the recruitment process.
Location: USC Health Science Campus
Phone: (213) 394-9320
E-mail: powerlab@usc.edu
Date/Time:
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Now M-D-Y H:M
What is your first name?
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First name
Last name
What is the best phone number to reach you at?
* must provide value
e.g. (323) 442-2788
What is your e-mail address?
* must provide value
(e.g. uscpowerlab@gmail.com)
Do you currently reside in the state of California?
Yes
No
What state do you currently live in?
* must provide value
Today M-D-Y
View equation
What sex were you assigned at birth, on your original birth certificate?
Female Male
Do you identify as male, female, or another gender identity?
Male Female Another gender identity
Please specify
Are you currently married or living with a significant other?
Yes
No
Do you have plans to separate from your significant other in the next 30 days?
Yes
No
Have you participated in any research studies at the University of Southern California (USC)?
Yes No I'm not sure
Did you consume any of the following in the past month?
Check all that apply
Do you currently take any prescription medications?
Yes
No
Which prescription medications do you take?
Are you currently pregnant or breastfeeding a child?
Yes
No
How long have you been a regular smoker?
Less than 6 months 6 months to a year 1 year 2 years 3 to 5 years 6 to 10 years More than 10 years
How often do you typically smoke cigarettes?
* must provide value
Less than once a month At least once a month At least once a week Multiple days a week Daily
On the days you smoke cigarettes, how many do you smoke on average?
* must provide value
Cigarettes Per Day
Do you smoke menthol cigarettes?
Yes
No
Are you considering quitting cigarettes?
Yes
No
Do you have any serious and set plans to cut down or quit smoking cigarettes in the next 30 days specifically?
Yes
No
(ie. enrolled in counseling or already purchased a nicotine replacement product)
How often do you typically smoke cigars or cigarillos?
Less than once a month At least once a month At least once a week Multiple days a week Daily
On the days you smoke cigars or cigarillos, how many do you smoke on average?
Cigars Per Day
How often do you typically vape or juul?
Less than once a month At least once a month At least once a week Multiple days a week Daily
How often do you typically drink coffee?
Less than once a month At least once a month At least once a week Multiple days a week Daily
On the days you drink coffee, how many cups do you drink?
1 2 3 4 5 6 7 8 9 10 or more
Cups
How often do you typically drink tea?
Less than once a month At least once a month At least once a week Multiple days a week Daily
On the days you drink tea, how many cups do you drink?
1 2 3 4 5 6 7 8 9 10 or more
Cups
How often do you typically drink soda/pop?
Less than once a month At least once a month At least once a week Multiple days a week Daily
On the days you drink soda, how many cans do you drink?
1 2 3 4 5 6 7 8 9 10 or more
Cans
How often do you drink alcohol?
Less than once a month At least once a month At least once a week Multiple days a week Daily
On the days you drink alcohol, how many alcoholic drinks do you typically have?
1 2 3 4 5 6 7 8 9 10 or more
Which of the following ways do you regularly use marijuana? (at least once per month)
How often do you typically smoke marijuana?
Less than once a month At least once a month At least once a week Multiple days a week Daily
How often do you typically eat or drink marijuana?
Less than once a month At least once a month At least once a week Multiple days a week Daily
How often do you typically vape marijuana?
Less than once a month At least once a month At least once a week Multiple days a week Daily
Do you have a smart device (e.g. iphone, android, ipad) that
you are able to download apps on?
* must provide value
Yes
No
What type of device?
* must provide value