Questionnaire

Please take a moment to tell us a little bit about your clinical trial experience. If we feel your story is a good fit for our project, a producer will be in touch with you via email or phone.

NOTE: WE ARE NOT SCREENING FOR A CLINICAL TRIAL.

Contact and personal information.
Name
City/State
Age
Sex
Male Female
Email
Phone Number(s)
Website
MySpace Site
Blog
What is your educational background?
Currently attending college or university
Bachelor’s degree
Graduate or Ph.D.
Never attended college
Other:  
If you have a degree, what was your major or field of study?
What is your current profession or job?
How would you describe yourself?
A professional guinea pig (I earn most or all of my income through clinical trials)
Semi-regular guinea pig (I make half of my income through clinical trials)
Casual guinea pig (When I need some extra cash or am unemployed)
Very casual guinea pig (I do studies every few years)
Once and done guinea pig (I tried and will never try it again)
Not yet a guinea pig (I am thinking about it but haven’t done it)
What was the most money you made participating in a clinical trial? Describe the length of the study, the drug and your compensation.
How long have you been participating in clinical trials?
Less than six months
Less than a year
1 to 3 years
5 or more years
What do you spend your guinea pig earnings on? (check all that apply)
Education
Bills or debt
Computers or tech gadgets
Travel
Medical bills or operation
For family member
For equipment
Other:  
Describe the circumstances that led you to do your first clinical trial.
What type of studies do you do? (check all that apply)
One-day
Overnight
Extended stay
Periodic (weekly or semi-weekly visits)
Other:  
What is the biggest perk to guinea pigging? (i.e. internet access, free food, no 9-5, money)
What is your favorite facility, clinic or hospital and why?
Have you been on a guinea pig road trip?
How far have you traveled for a clinical trial?
Would you travel to another country to participate in a clinical trial?
Describe the weirdest study you’ve ever been in.
Do your family and friends know that you are human guinea pig? If so, what do they think about it? What was their reaction when you told them?
Have you ever gotten sick while in a study? Have you witnessed anyone else get sick? Do you know anyone who died during a study?
Do you have funny or outrageous clinical trial studies stories about you or your friends? If so, please briefly describe them.
Would you be willing to discuss your experiences on film?
Yes No
May we add you to our production mailing list?
Yes No
Would you like to participate in a guinea pig yahoo group or blog?
Yes No

 

REMINDER: WE ARE NOT SCREENING FOR A CLINICAL TRIAL.