Thank you for your willingness to participate in this exciting project! As you move through the questionnaire, you will be asked to answer a wide range of questions about yourself, your family, and your lifestyle. These questions were developed by scientists and doctors to help us understand how lifestyle affects our health and what influences our ability to lose weight. Your thoughtful responses will help us accomplish these goals.

To learn why we are asking for certain information, please feel free to contact us at any time by e-mail (topsgenome@wakehealth.edu) or by phone (336-713-7505). Any responses you provide will be kept confidential. Only Drs. Olivier and Cole and the Study Coordinator will have access to your personal health information.

Answering all questions will take 30-60 min. You may leave the survey at any time. If you would like to save your answers and return at a later time, scroll down to the bottom of the page and click on the “Save & Return Later” button. A screen will appear with a unique “Return Code”. It is important that you copy this code. Without it, you will NOT be able to complete the survey. You will be then be given directions for returning to your survey.

After you have completed the survey and clicked the “Submit” button you will no longer be able to access or edit your answers. Please know that your answers are very important to us and we appreciate the time you have taken to provide careful responses. Again, thank you for participating.

You will now enter the questionnaire. Please use the buttons at the bottom of each page to navigate through the survey. The first part asks you for your consent. Please read the embedded consent form! It describes the research that is being conducted here. Feel free to copy or print out this form.

To download and print the consent form, double click the attachment entitled “Repository Consent & Authorization Document (Form E).pdf” at the bottom of this page. You will then be able to select “Open” the consent form or “Save” the consent form to your computer. You may “Open” the consent form file using “Adobe Acrobat Reader” which can be downloaded free of charge from the internet, or “Preview” if you are using an Apple device. You may also “Save” the consent form document to your computer and print it out later. If you cannot download and/or print the consent form, please contact the research team at topsgenome@wakehealth.edu and we will send you a copy of the consent form.

If you are willing to participate in this study and share your (protected) personal health information for the uses outlined in the consent form, you can proceed to the remainder of the survey. If you choose not to share this information, you will be exited from the survey and no data will be stored. Note: you must be 18 years of age to participate in this project!

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/^((02([-\/])29\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1[012])([-\/])(0[1-9]|1\d|2[0-8]))|((0[13-9]|1[012])([-\/])(29|30))|((0[13578]|1[02])([-\/])31))(\11|\15|\19)\d{4}))$/
/^(((\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00))([-\/])02(\6)29)|(\d{4}([-\/])((0[1-9]|1[012])(\9)(0[1-9]|1\d|2[0-8])|((0[13-9]|1[012])(\9)(29|30))|((0[13578]|1[02])(\9)31))))$/
/^((29([-\/])02\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1\d|2[0-8])([-\/])(0[1-9]|1[012]))|((29|30)([-\/])(0[13-9]|1[012]))|(31([-\/])(0[13578]|1[02])))(\11|\15|\18)\d{4})) (\d|[0-1]\d|[2][0-3]):[0-5]\d$/
/^((02([-\/])29\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1[012])([-\/])(0[1-9]|1\d|2[0-8]))|((0[13-9]|1[012])([-\/])(29|30))|((0[13578]|1[02])([-\/])31))(\11|\15|\19)\d{4})) (\d|[0-1]\d|[2][0-3]):[0-5]\d$/
/^(((\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00))([-\/])02(\6)29)|(\d{4}([-\/])((0[1-9]|1[012])(\9)(0[1-9]|1\d|2[0-8])|((0[13-9]|1[012])(\9)(29|30))|((0[13578]|1[02])(\9)31)))) (\d|[0-1]\d|[2][0-3]):[0-5]\d$/
/^((29([-\/])02\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1\d|2[0-8])([-\/])(0[1-9]|1[012]))|((29|30)([-\/])(0[13-9]|1[012]))|(31([-\/])(0[13578]|1[02])))(\11|\15|\18)\d{4})) (\d|[0-1]\d|[2][0-3])(:[0-5]\d){2}$/
/^((02([-\/])29\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1[012])([-\/])(0[1-9]|1\d|2[0-8]))|((0[13-9]|1[012])([-\/])(29|30))|((0[13578]|1[02])([-\/])31))(\11|\15|\19)\d{4})) (\d|[0-1]\d|[2][0-3])(:[0-5]\d){2}$/
/^(((\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00))([-\/])02(\6)29)|(\d{4}([-\/])((0[1-9]|1[012])(\9)(0[1-9]|1\d|2[0-8])|((0[13-9]|1[012])(\9)(29|30))|((0[13578]|1[02])(\9)31)))) (\d|[0-1]\d|[2][0-3])(:[0-5]\d){2}$/
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