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Am I Eligible?

To make an initial assessment of your eligibility to participate in this national research study, we would like you to complete this short questionnaire to receive immediate eligibility feedback

If your answers indicate that you may be a good candidate for the study, you will be asked to provide your contact information so our clinical team can contact you with further details about the study and to discuss your eligibility in more detail. This global clinical study is being conducted across the United States, Canada, United Kingdom, European Union and Israel. Compensation and travel reimbursements may be made for eligible participants.

1 How old are you?

This is a required question. Please answer and resubmit.

2 Have you ever been diagnosed with Primary Sclerosing Cholangitis (PSC)?

Yes

No

This is a required question. Please answer and resubmit.

3 Do you currently suffer from itch?

Yes

No

This is a required question. Please answer and resubmit.

4 If you qualify and choose to join the study, would you be willing to record your itch score on an electronic diary (like a phone device) once every day? The assessment will take less than 2 minutes to complete. Is this something that you are willing to complete?

Yes

No

This is a required question. Please answer and resubmit.

5 Are you willing to travel? (Location study centers nationwide. Travel compensation may be provided)

Yes

No

This is a required question. Please answer and resubmit.

6 Please enter your full email address:

This is a required question. Please answer and resubmit.

7 Please enter your zip code so that we can find the nearest study center:

This is a required question. Please answer and resubmit.

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