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form-joinstudy.html
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form-joinstudy.html
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<div class="text-center">
<span class="glyphicon glyphicon-heart"></span>
<h3>Complete the study signup process by completing this form.</h3>
<div class="form-group">
<label for="first_name">First Name</label>
<input type="text" class="form-control" name="first_name" ng-model="formCtrl.formData.first_name" required>
</div>
<div class="form-group">
<label for="last_name">Last Name</label>
<input type="text" class="form-control" name="last_name" ng-model="formCtrl.formData.last_name" required>
</div>
<div class="form-group">
<label for="email">Email</label>
<input type="text" class="form-control" name="email" ng-model="formCtrl.formData.email" required>
</div>
<div class="form-group">
<label for="email">Birth Year</label>
<input type="text" class="form-control" name="birth_year" ng-model="formCtrl.formData.birth_year" required>
</div>
</div>
<div class="form-group">
<label for="participant_type">What type of participant are you?</label>
<div class="radio">
<label>
<input type="radio" ng-model="formCtrl.formData.participant_type" value="resident">
Resident
</label>
</div>
<div class="radio">
<label>
<input type="radio" ng-model="formCtrl.formData.participant_type" value="medical_student" checked>
Medical Student
</label>
</div>
<div class="radio">
<label>
<input type="radio" ng-model="formCtrl.formData.participant_type" value="doctor" checked>
Doctor
</label>
</div>
<div class="radio">
<label>
<input type="radio" ng-model="formCtrl.formData.participant_type" value="patient-caregiver" checked>
Patient or Caregiver
</label>
</div>
<div class="form-group row">
<div class="col-xs-6 col-xs-offset-3">
<a ng-click="formCtrl.checkParticipantType()" class="btn btn-block btn-info">
Next Section <span class="glyphicon glyphicon-circle-arrow-right"></span>
</a>
</div>
</div>