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Insomnia
Insomnia Clinical Trial
(08) 9386 1858
reception@csmc.net.au
Monday to Friday 8:00am to 7:00 pm
Insomnia Trial
Captain Stirling Medical Centre are looking for volunteers to participate in a clinical trial investigating a potential new treatment for insomnia. The trial will find out what effects, good or bad, this potential treatment has on insomnia.
Please answer the questions below to assess your eligibility for the trial.
Full Name
*
Phone Number
*
Email address
*
Are you 18 years of age or older?
Yes
No
Do you suffer from other sleep-wake disorders such as narcolepsy, parasomnia or restless leg syndrome?
Yes
No
Do you regularly spend 6-10 hours in bed, either sleeping or trying to sleep?
Yes
No
Do you have a history of sleep-related violent behavior, or sleep driving, or other sleep-related behaviors, e.g., making phone calls, or preparing and eating food while asleep?
Yes
No
Do you have a history of any neurologic conditions e.g. seizures or convulsive disorders (including epilepsy) or severe head injury?
Yes
No
Are you available to attend 4 clinic appointments at Captain Stirling Medical Center, Nedlands Western Australia and 4 safety phone calls over a 4 month period?
Yes
No
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CSMC
About Us
Services
General Practice Services
Medical Studies and Clinical Trials
Dive Medical Examination
Aviation Medical
Doctors and Staff
Get in Touch
Links
Insomnia
Insomnia Clinical Trial
(08) 9386 1858
reception@csmc.net.au
Monday to Friday 8:00am to 7:00 pm