PharmFIT Kit Return Form

I am reaching out to you to report I returned my FIT Kit to the lab for processing.

Thank you for completing your screening and letting us know that. 

 
Do you still wish to complete the 10-15 minute survey? [* = required]

Please note that we will send you a $20 gift card for time spent completing the survey.

Yes, I want to complete the survey.

Great! I will send you a link to the online Consent Form and Survey now via your email address. Please enter your email address below. We will also send your $20 Amazon electronic gift card to the email address you provide.

[* = required]
[* = required]

No, I do not wish to complete the survey.

We are happy to answer questions and/or discuss concerns if something about the study made you change your mind. Feel free to reach out to us at pharmfit@fredhutch.org. If not, thank you for your time and we wish you well. Please include your email below so we can remove you from our contact list.
 

[* = required]