Infant Gold Research Contact Information

Emily Dunn, MS, RD, CDE

Call: 303-724-3272

Email: emily.2.dunn@ucdenver.edu

Interested in participating in a research study? Tell us about yourself!

Providing the information to us below is completely optional. You may skip any questions that you don't feel comfortable answering. The form is secure and goes directly to the email of the research team's Clinical Coordinator. If you do not qualify for any of our studies, your information will be deleted. If you would prefer to share information over the phone, please use one of the phone numbers above to contact us. Thank you!

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

What is your preferred method of communication?

Age

Are you pregnant?

Yes, I am pregnant with one baby

Yes, I am pregnant with twins

What is your due date or When did you deliver your baby??

Current weight (lbs)

Pre-pregnancy weight (lbs)

Height (ft/in)

Have you been diagnosed with diabetes?

If so, what is your typical fasting glucose?

Are you taking any medications?

If you selected other, please list medication(s) below.

Do you smoke cigarettes or marijuana?

Yes

Do you plan on breastfeeding or formula feeding your baby?

At which hospital do you plan on delivering your baby?

Are you willing and able to travel to the University of Colorado at Anschutz Medical Campus for study visits during your pregnancy and the first year of your infant's life?

Yes

Which study would you like to participate in?

How did you hear about our research studies?

Is there anything else you would like us to know about you?

Do you have any questions for our research team?

Where is the University of Colorado Anschutz Medical Campus?