Sign Up

Basic Info

Thank you for your interest in participating in our paid research studies. This sign-up questionnaire will help us know which studies we can contact you about.

Not all of the information is required, you can skip anything you don't want to answer. However, the more answers you give, the more likely it is that you'll be called for a study.

First, just some basic required information so that we can contact you when there is a study you can participate in.

First name:

Last name:

Email:

Primary phone: (10 numbers only, no () dashes, etc

Secondary phone: (Optional. 10 numbers only, no () dashes, etc)

OPTIONAL: Select this if you give Cypher Research Permission to send text messages to alert me of upcoming research projects and to send appointment reminders. I understand that I will not recieve texts for any other purpose and can opt out of these messages at any time.

Gender:

City:

State/Province:

Zip Code: (5 digits, USA only)

County: (Wayne, Oakland, etc. NOT Country)

Date of birth

How did you hear about us?