Mesulam Center Research Advocate

Thank you for your interest in sharing your research experience at the Mesulam Center for Cognitive Neurology and Alzheimer's Disease at Northwestern University, Feinberg School of Medicine.

If you are involved in one of our studies and/or clinical trials, or if you are a caregiver of a research participant, we want to hear from you!

Name Name First Last
Email
Phone Phone - ### - ### ####
Are you a Research Participant or Care Partner?

Are you a Research Participant or Care Partner? Research Participant Care Partner
Topics you would be interested in discussing (choose all that apply):

Topics you would be interested in discussing (choose all that apply): Receiving a diagnosis Clinical Trials The importance of being involved with research The impact of Miller Family Quality of Life Programs (The Buddy Program, SEED, Art in the Moment, The Memory Ensemble) Brain Donation Caring for someone with a diagnosis Other Other
What format would you be comfortable sharing your story/experience (choose all that apply):

What format would you be comfortable sharing your story/experience (choose all that apply): Written correspondence Phone interview Pre-recorded TV/Studio or Radio Interview Live TV/Studio or Radio Interview In Person Presentation (i.e. Event Panelist)