ScreeningAFARv2 ScreeningAFAR If you are interested in participating in this study, please answer the following questions. We will not collect any identifying information about you. Are you 95 years or older? Yes No Do you have a family member or know someone who is 95 years or older who is currently alive? Yes No What is your relationship? Child Spouse/Partner of child Grandchild Sibling Niece/Nephew Other… Enter other… Is this family member willing to participate in the SuperAgers Family Study? Yes No Leave this field blank
