The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

Ctg3X5iJRRqCo2igDt2S8eLWrP4K5y37jxsRJqpzZUsCUfi8I9npriCSFGmStemwia2KvhSB9LVLFa

Recruitment Contact Form

Thank you for your interest in our research study, "Technology Support for Cognition and Social Engagement for Older Adults: A Focus Group Study". This study aims to develop and evaluate a software that supports cognitive and social aspects of daily life. We want to gather your ideas and opinions about this technology in a small group discussion.

The study is conducted at the University of Illinois Urbana-Champaign. The group discussion will take place in person on the university campus.

If you are interested in participating, please answer the following questions, and a member of our research team will contact you if you are eligible to proceed to the next step of the study.

Thank you!

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