Take Action > Register for Future Studies

CINRG Online Registration Form

Contact Information
  14. Have you been diagnosed? Yes No
    If yes, how?
    DNA Testing
    DNA Sequencing
    Deletion Test
    Muscle Biopsy
    Western Blot
    Immunofluorescence
  15. Can you walk? Yes No
    If no, how long have you been in a wheelchair?
  16. Have you ever taken steroids or supplements? Yes No
    If yes, which ones?
  17. Have you been in a research study before? Yes No
    If yes, when?
  18. Are you interested in participating in any of our trials? Yes No
  19. Are you willing to have this information stored by CINRG? Yes No
  20. Can we contact you in the future? Yes No

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