See if you may Qualify

Pre-Screening Questions

Your information will not be sold or shared with third parties for their own separate use.
Who are you taking this questionnaire for?  




What is your date of birth? (Caregivers or legal guardians of the study candidate may answer and complete the questionnaire on behalf of the study candidate).
Month Day Year
Height (feet, inches) ft. in.
Weight (lbs.)
Have you been diagnosed with Parkinson’s Disease or Dementia with Lewy Bodies (DLB) by a doctor?


Have you been diagnosed with dementia by a doctor?

This study requires a study partner, defined as a person who is in frequent contact with the patient (for example, 10 or more hours per week), is available to attend study visits with the patient, and sometimes talk to study personnel by phone. Do you have someone who can fill this role?


In the past 6 months, have you experienced a heart attack, hypertension, stroke, or other serious cardiovascular event?

How did you hear about us?










Interested?

The investigational medication is taken orally once a day.

You will receive all study-related care at no cost.
Health insurance is not needed.