Do You Qualify?

Thank you for your interest in the VISTA clinical trial.  To learn more about the VISTA clinical trial, and to see if you or your child may qualify, please complete the following questionnaire.

How did you hear about the VISTA clinical trial?

AGTC.com website

AGTC Patient Advocacy Group

My doctor referred me

A Clinical Trial Site Referred Me

Family member referred me

Social Media

Internet search engines advertising (e.g., Google, etc.)

Press release/News article

Clinicaltrial.gov

Email

Other

Do not remember

This is a required question. Please answer and resubmit.