Please answer the following questions:

Reminder: Donations must be made in person in restrooms at a designated site.

It appears that you may be eligible for participation in this program. With your approval, the answers you have provided, along with your contact information, will be sent today to a donation center in your community that is currently conducting this program.

Do you want to provide your contact information so that a representative from a donation center in your community can contact you to tell you more about this program?

Thank you for your time today. There are specific requirements for participation in the GoodNature™ Program. Based on the information you provided, it does not appear that you will be eligible for participation in this particular program at this time.

Do you want to provide your contact information so that we can send it to a participating donation center in your area if the requirements for this program change?

Thank you for your time today.

There are specific requirements for participation in the GoodNature™ Program.

Based on the information you provided, it does not appear that you will be eligible for participation in this particular program at this time.

In order for a local donation center to contact you about the answers you provided in the survey, we will need to gather some contact information from you.

Congratulations!

In order for a local donation center to contact you about the answers you provided in the survey, we will need to gather some contact information from you.

In order for a local donation center to contact you about the answers you provided in the survey, we will need to gather some contact information from you.

In order for a local donation center to contact you about the answers you provided in the survey should program requirements change or there is another program for which you may eligible, we will need to gather some contact information from you.

Unless specifically instructed otherwise by a donor (or required by law, for example, to share lab results), GoodNature™ will not contact our donors, and we take affirmative steps to protect your anonymity.

For those donors who are interested in our work and in further advancing our research efforts, we offer a number of ways to remain in touch. We encourage such donors to opt in to receive further communications from us or to provide additional information to support our research and knowledge.

If you would like to opt in, please select from the list of purposes below, and we will only use it for the purposes you select. Please select all that apply: