Register-CH - Rutgers

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The Institute for Health is a hub for research focused on improving population health. What does that mean? It means our researchers are working to better understand and address all the things around us that affect our health -- things like social conditions, economic status, cultural factors, life experiences. Our researchers take what they learn and share it -- with health care providers, with government leaders and policymakers, and with communities like yours -- so that we can help make a difference. If you provide your information here, we will contact you in the future about different research opportunities and share relevant and expert health information with you.

备注: * 部分为必填项。

*姓

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*名字

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*性别

男

女

非二元/第三性别

其他

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*种族 (选择所有适用的选项)

美洲印第安人或阿拉斯加原住民

亚裔

非裔

西班牙裔或拉丁裔

夏威夷原住民或其他太平洋岛民

白人

其他

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*国家/民族 (例如：华人，日本人，德国人等.)

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*日常使用语言

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生日 (月-日-年)

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年龄

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*地址

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*城市

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*州

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邮编

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电子邮箱

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电话号码

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*感兴趣的健康话题 (请选择所有适用选项)

上瘾（烟/酒/药物等
关节炎
哮喘
大脑受伤
癌症
儿童护理
儿童健康
慢性疾病管理
失智症/痴呆
抑郁
糖尿病
家庭暴力
临终关怀/姑息治疗
锻炼
摔倒
财务剥削/诈骗
枪支暴力
心脏病
肝炎
艾滋病毒/艾滋病
高血压
婴幼儿健康
长期护理
听力下降
产妇保健
白卡
红蓝卡
营养
肥胖
鸦片类药物
口腔牙齿健康
骨质疏松
其他精神疾病
污染/气候变化
中风
烟草/吸烟
疫苗/接种
视力健康
其他 (请写下其他感兴趣的话题)

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Cómo se enteró de esto?

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Redes sociales?

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Comentarios adicionales

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数据保护政策:我们对个人信息严格保密。我们遵守相关个人数据保护条款和隐私政策。隐私信息指任何可以识别个人身份的信息。除非您要求删除数据、撤销数据使用同意，或者存储数据不再有意义，我们将存储您在此表格中提供的信息。任何强制的法定条款，尤其是针对强制数据保留期的法案，不受此限制。表格中的信息不会被自动转用于社交媒体平台或者广告用途。许多数据处理操作只有事先获得您同意，才有可能进行。您可以在任何时候撤销数据使用同意，只需发送一封非正式邮件到以下邮箱即可: dm1367@ifh.rutgers.edu

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