The SUGAR Group - The Sugar Glider Advanced Research Group
 
If you have a sugar glider or gliders who have experienced sudden onset of neurological symtoms and you are interested in participating in our study, please complete the following form.  You will be contacted by a SUGAR Group staff member within 48 hours for additional information and with additional instructions.
 
Thank you for doing your part to help find answers.
 
Neurological issues Study - Please complete all blanks in full
Your name
Your screen name
Your email address
Your phone number
How many gliders do you currently have who are ill?
Describe the symptoms your glider(s) is/are experiencing
Have your gliders seen a vet for these symptoms?
Yes
No
If yes, what was the vet's diagnosis?
Are you willing to provide the SUGAR Group with all necessary documentation to complete this study?
Yes
No
Unsure
Are you willing and able to keep the content of any discussions with those involved in this study confidential?
Yes
No
Please be sure to hit "send." Thank you!
 
Website provided by Vistaprint
Website
provided by Vistaprint