Father's Feelings Interest Sign-up - OhioGuidestone Research Portal

This page is for men who would like to participate in the Father's Feelings research study.

Thank you for your interest in our study. Please answer the following questions to get started.

Electronic Agreement *

By checking this box, I agree to use electronic records and electronic signatures.

Please tell us your age *

I am at least 18 years old
I am 17 years old or younger

Are you an Ohio resident? *

You must live in Ohio to participate in this study

How old is your baby? *

Not born yet
Less than one year (12 months and under)
More than one year (13 months and over)

Was your baby born early or had to go to the NICU (neonatal intensive care unit)? *

Does your baby have any health conditions? *

Have you ever been told by a licensed clinician (doctor, nurse, therapist) that you have depression? *

Have you ever been told by a licensed clinician (doctor, nurse, therapist) you have a major mental health condition, such as Schizophrenia or Bipolar Disorder? *

How did you find out about this study? *

Please select the times that work best for you *

Mornings (9am-11am)
Afternoons (12pm-3pm)
Early Evening (4pm-7pm)
Other

Name *

First

Last

Email *

Phone Number *

County *

Address

Address Line 1

Address Line 2

City

State

Zip Code

How was this form completed? *

In-Person
By Phone
Online
Mail-In

Acceptance *

I understand that by checking this box and submitting this form, I am giving permission to Research Team members to call, email and/or text me to follow up about my interest in the Father's Feelings study.

Phone

If you have any questions or need assistance, please contact the research office Monday-Friday 9am-4:30pm at 440.260.8865 or email research@ohioguidestone.org.

If you need immediate help or interventions due to a mental health crisis, call 911 or go to the nearest hospital emergency room.

For more information about OhioGuidestone, including services for mental health or addiction, please visit the OhioGuidestone website.

Father’s Feelings Interest Sign-up