Many thanks for your interest in our study. Please read through this short screening questionnaire.

First Name:

Last Name:

Address:

Email Address:

Phone number (numbers only):

Please answer the following questions about possible contraindications to your participation in the investigations:

Do you have any neurological or psychiatric disease?

Do you have any cardiovascular or hearing problems?

Are you a wearer of a pacemaker or other electrical appliances?

Do you have any non-removable metal on the body?

Do you have any tattoos?

Do you have an intact temperature sensation?

Do you have any medication that might affect the brain?

Do you have any non-removable metal implants?

Are you claustrophobic?

Will you comply with removing metallic underwear for the MRI?

Do you refuse to be informed about unexpected MRI findings?

I agree to be contacted on short notice.

I consent to the Experiment condition.