Welcome!

Thanks for your interest in the Baylor Scott & White research study.

Your feedback can help us better understand patient perspectives and improve our services and communication. Once you have completed the research activities, you’ll receive a $15 Starbucks gift card by email. This invitation-only study is available to a limited number of participants on a first-come, first-serve basis.

Please begin by completing the form below. Be sure to use the same email address where you received our invitation.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

First Name*

Last Name*

Email Address*

What Medicare coverage do you currently have?*

Is your primary care physician with Baylor Scott & White Health?*

Yes

All responses will remain confidential and will be used for research purposes only.