Initial Study Participant Info – The Equilibrium Journal

Initial Assessment

Research Group: The Equilibrium Journal

Study Title: The Equilibrium Index & Depression Assessment

Assessments Utilized: The Equilibrium Index (EI); PHQ-9

Study Duration: 14 days (~5 minutes/day)

The Equilibrium Index & Depression Study Participant Info

Participant Study Username

Please keep your study username handy as you will need this for all study assessments

Study Username *

Your study username is:
(last two digits of your birthyear) + (first 3 letters of your first name) + (first 3 letters of your favorite movie)

Participant Information

First Name *

This information will not be seen outside of our team*

Last Name *

This information will not be seen outside of our team*

Email *

This information will not be seen outside of our team*

Study Start Date *

Study begins 1 day after today*

Participant Demographics

Age *

Gender *

Marital Status *

Employment *

Ethnicity *

Education *

Additional Information

Journaling Experience *

General Depression Level *

General Happiness Level *

Clinically diagnosed mood or depressive disorder?

Yes

Prefer not to answer

Disclaimer:

Please note that this is a beta version of the EI which is still undergoing final testing before its official release, and may be subject to change at any time. It is intended for personal use only and is not intended to diagnose, treat, cure, or prevent any disease or condition. Please also note that our research studies are in no way affiliated with Pfizer Inc.

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Initial Assessment

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