This online questionnaire (the “Survey”) will ask you various questions related to your health such as (1) various health conditions you may have, (2) medications you may be taking or have taken in the past, and/or (3) other relevant information to see if you may qualify for one or more clinical trials being conducted by Xentria. At the end of the survey, you will have the option to provide your contact information and release your answers to the Survey for review and follow-up. If, at the end of the Survey, you decide that you would not like the information you provided to be shared, simply exit the Survey without submitting the Survey. If, at the end of the Survey, you would like to be considered for participation in a trial you will be asked to acknowledge and accept a release of information form allowing Xentria, Inc. to release your information provided in the Survey to various Trial locations. This release of information form can be read here.