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:

NYU Data Catalog: Data Request Form

Please complete this form to request access to this dataset. This form will be sent to the Corresponding Author who will evaluate your request.

The Corresponding Author may ask you to provide additional information if necessary. The Corresponding Author will inspect the request at their convenience.

Date of Submission

Y-M-D

Link to the dataset in the NYU Data Catalog

* must provide value

Your name

* must provide value

Your e-mail

* must provide value

Your institution

* must provide value

Are you the project/study lead?

Yes

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What is your role?

Faculty

Research Staff

Student

Other

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If other, please specify

Name of the project/study lead

E-mail of project/study lead

Institution of project/study lead

What is the role of the project/study lead?

Faculty

Research Staff

Student

Other

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If other, please specify

Study Description:

Please provide a brief description of what the proposed project would entail, including the background/rationale and if/how it will be published, e.g. academic paper, conference presentation.

* must provide value

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Requested Information:

Please describe in detail what pieces of information (e.g. demographic information, clinical measures, survey responses) you require from this dataset.

* must provide value

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Will these analyses involve a for-profit company?

Yes

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If yes, please explain.

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