You can always press Enter⏎ to continue
Welcome

Welcome

This survey will take no longer than 5 minutes to complete and is intended to assess your eligibility for the KGK Science clinical trial. This clinical trial is investigating the efficacy  and safety of a Kids probiotic on the frequency and duration of cold and flu symptoms All information collected will be kept in accordance with  https://www.kgkscience.com/privacy-policy . You must be the child’s parent or legal guardian to fill out this form. Please fill out this form for one child only you will have the opportunity to submit additional forms for additional children at the end.  
36Questions
  • 1
    Press
    Enter
  • 2
    Press
    Enter
  • 3
    Press
    Enter
  • 4
    Press
    Enter
  • 5
    -
    Pick a Date
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Press
    Enter
  • 8
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    Press
    Enter
  • 11
    Press
    Enter
  • 12
    Press
    Enter
  • 13
    Press
    Enter
  • 14
    Press
    Enter
  • 15
    Press
    Enter
  • 16
    Press
    Enter
  • 17
    Press
    Enter
  • 18
    Press
    Enter
  • 19
    Press
    Enter
  • 20
    Press
    Enter
  • 21
    Press
    Enter
  • 22
    Press
    Enter
  • 23
    Press
    Enter
  • 24
    Press
    Enter
  • 25
    Press
    Enter
  • 26
    Press
    Enter
  • 27
    Press
    Enter
  • 28
    Press
    Enter
  • 29
    Press
    Enter
  • 30
    Press
    Enter
  • 31
    Press
    Enter
  • 32
    Press
    Enter
  • 33
    Press
    Enter
  • 34
    Please tick all that apply
    Press
    Enter
  • 35
    Please tick the times that work best for you.
    Press
    Enter
  • 36
    Press
    Enter
  • Should be Empty:
Question Label
1 of 36See AllGo Back
close