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? *

Yes

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)

How many months pregnant is the mother of your baby? *

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

Yes
No

Does your baby have any health conditions? *

Yes
No

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

Yes
No

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? *

Yes
No

How did you find out about this study? *

Please select the days that work best for you *

Please select the times that work best for you *

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

If other, please explain *

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.

Father’s Feelings Interest Sign-up