HeroGene Project Enrollment Form

Characteristics like gender and ethnicity can be important factors in the development and treatment of certain conditions. Sharing this information helps us understand who our heroes are, and will increase your chances of qualifying to be a hero.

You can answer as many or as few of these questions as you want.

Our family characteristics can tell us a lot about who we are at the most basic level. And did you know that actions you take now can impact not only your own health, but those of future generations? Sharing family information helps us understand who our heroes are, and will increase your chances of qualifying to be a hero.

Did you know that lifestyle and environmental factors like nutrition, exercise, sleep, and even where we live can affect the way our genes behave and how they are expressed? It's called epigenetics, and it is one of the most important keys to truly personalized medicine. Sharing information about your lifestyle and environment can help us understand who our heroes are, and will increase your chance of qualifying to be a hero.

You can answer as many or as few of these questions as you want.

Click the Submit button to finish.

Thanks for hanging in there with us! We're almost done. You've told us a lot about yourself, now tell us what conditions or topics are of the greatest interest or concern to you.