Enroll in the Study

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We are actively enrolling centenarians ages 100 and older, as well as their siblings, children, nieces and nephews.

You will be asked to complete some questionnaires about your health and lifestyle, your family tree, and social information. Research staff will then conduct a remote visit, either by phone or video, to collect health data pertaining to physical function and cognitive ability.

We will also collect a small blood sample. In order for a person to come to you to obtain a blood sample, we have established precautions regarding COVID-19 with participant safety in mind.

One of the goals of this research study is to find connections between the genetic and biological components identified in the samples and the functional health characteristics we observe during the virtual visit. These connections may help to explain how some individuals and their family members are able to show this degree of longevity while also delaying or escaping age-related diseases such as Alzheimer’s disease, cancer, and stroke.

We will come to you.

There are no costs to you, and you do not need to travel anywhere to be in the study. If you are interested in participating in this research study or would like more information, please complete the form below and one of our research staff will follow up with you. Alternatively, you may call us toll-free at 1-888-333-6327, or email us directly at agewell@bu.edu.

Please note, if you are located in New York, New Jersey, or Georgia, you may be contacted by staff from one of our sites at Albert Einstein College of Medicine (Bronx, NY) or Georgia State University (Atlanta, GA).

Centenarian Name*
First Last
Centenarian Date of Birth*
Month
Day
Year
Contact Name*
First Last
Relation to Centenarian*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Message/Comments