Health Questionnaire for Evanston Researchers

Click here to download the Health Questionnaire for Evanston researchers.

Send your completed form to msanhamel@northshore.org and kgreen@northshore.org. Please do not send this form to the IACUC Office.

Please continue to monitor your email for messages from Kasia Green (kgreen@northshore.org), in case they require clarification regarding your health questionnaire answers.