Insomnia Self Assessment

Fields marked with an * are required

Thank you for your interest in OCCI. If you would like more information about this study, fill out the form below and we will contact you by email or phone. Please check your spam folder if you do not hear from us within a few days. You may also call us at: (503) 540-0100 at our Salem facility or (503) 276-6224 at our Portland facility.


 
Insomnia Checklist

Do you experience any of the following?

 
If you answered yes to some of these symptoms, you may be suffering from Insomnia. OCCI is currently seeking individuals experiencing the above symptoms to participate in research studies of investigational medications for insomnia. If you are selected, all research-related care and study medications will be provided at no cost.
 

IMPORTANT