Health Questions
The following are the questions participants are asked to respond to in order to complete their health profile:Profile Usage
I am interested in being notified about clinical trials that fit my health profile.I hereby give permission for my anonymized data to be used in scientific health research.
Age and Gender
What year were you born?What is your gender identity?
Body Measurements
What is your height?What is your weight?
Smoking
How many cigarettes or other nicotine products do you smoke per day on average?Alcohol
How many standard servings of alcohol do you consume per week on average?Metal Implants
Do you have any metal implanted in your body that would prohibit you from having an MRI?Illnesses, Conditions, Diseases
Please enter all conditions you currently suffer from.Please enter all conditions you have experienced in the past but are now clear of.
Please provide any important details about your major illnesses.
I am only interested in trials about.
Handedness
Which is your dominant hand?Mental Health
Do you often have suicidal thoughts?COVID-19
Do you currently have COVID?Do you have Long COVID?
Ethnicity
What is your ethnicity?Veteran
Are you a Veteran?Prescription Drugs
Please enter all prescription drugs you regularly take.Recreational Drugs
Which of the following drugs do you use?Occupation
What is your current occupation? Check all that apply.Immunizations
Which of these diseases have you been vaccinated against?Surgeries
What types of surgeries have you undergone?Medical Procedures
How many times have you had the following medical procedures.Implanted Medical Devices
Which of the following medical devices do you currently have implanted?Pregnancy
I am pregnant and my expected due date is.Travel
If interested in participating in a clinical trial, how far would you be willing to travel?Language
Which languages are you fluent in?Education
What is the highest level of education you have achieved?Diet
Which diets describe your eating habits?OTC Medications & Supplements
List over-the counter medications and supplements that you take.Allergies
What allergies do you have?Stress Factors
Describe psychological and stress factors in your daily life.Pain
Describe any chronic pain you experience.Disabilities
Describe any physical disabilities you have.Social Support
What social support networks do you have?Sight
Eye conditions.Hearing
Hearing impairments.Teeth
Dental health.Sleep
Sleep duration and quality.Reproduction
Which contraceptive methods do you and your partner use?Pregnancy history.
Menstrual history.
Menstrual Status.
Physical Activity
Physical activities you participate in (type and frequency).Travel History
Recent travel history (especially to high health risk areas).Work Hazards
Occupational hazards.Environmental Factors
Factors affecting your health.Heath Tracking Device
Which health tracking devices (smartwatches, bands, etc) do you use?Family Medical History
Medical conditions that affect family members.Submit Test Results
Recent lab results.Recent imaging reports.
DNA Screening Results.
Please add your photo here.
This is optional. CenTrial will not share it or any of your info with the public. Your photo will only go, along with your health profile, to clinical trials that you will have expressed an interest in.